Large, Vascular Cecal Mass

Navreet Malhi-Chowla, MD, Herbert C. Wolfsen, MD, Timothy A. Woodward, MD

Disclosures

South Med J. 2002;95(2) 

In This Article

Abstract and Introduction

A 74-year-old woman had a recent weight loss and history of breast and cutaneous malignancy. Medical evaluation included colonoscopy, which showed a 4 x 3 cm, vascular-appearing mass in the cecum. It was blue-tinged, soft, and easily deformed by pressure. Endoscopic ultrasonography characterized the lesion as a fluid-filled submucosal mass. Because of the suspicion of neoplasm, the patient had exploratory laparotomy and right hemicolectomy. Histopathologic examination revealed a lymphangioma. We review the literature regarding diagnosis and management of colonic lymphangiomas and describe a distinctive case.

Lymphangiomas are benign tumors arising from lymphatic channels, usually in the head and neck or axillary region. While gastrointestinal involvement is rare, this report describes a patient diagnosed with a lymphangioma of the colon.

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