Small Intestinal Lymphangioma with Bleeding: A Case Report

Small intestinal lymphangioma is a rare benign tumor of the lymphatic system. Lymphangiomas account for 6% of small intestinal tumours seen in children but area smaller percentage, approximately 1.4–2.4% in adults.Here we describe the first case of small intestinal lymphangioma with bleeding in a 57-year-old woman. She presented with persistent gastrointestinal bleeding and Upper and lower endoscopies did not reveal a bleeding source but lots of rufous intestinal contents. Laparotomy was performed and endoscopy revealed a small intestinal tumor. Partial resection of the small intestine was thus performed and the final pathological diagnosis was lymphangioma. However, accurate diagnosis could not usually be established preoperatively in spite of modern imaging techniques. To arrive at a definitive diagnosis and exclude malignancy, partial resection of the small intestine was considered to be the required treatment.