Double-Balloon Enteroscopy with Laparoscopy-Assisted Surgery for Diagnosis and Treatment of Jejunal Lymphangioma with Overt Gastrointestinal Bleeding: Report of a Case

利用雙氣囊小腸鏡合併腹腔鏡手術來診斷及治療合併明顯出血的空腸淋巴管瘤：一病例報告

鄭浩材(Hao-Tsai Cheng) ； 林政輝(Cheng-Hui Lin) ； 陳澤卿(Tse-Ching Chen) ； 葉大森(Da-San Yen) ； 曾振輝(Jeng-Hwei Tseng) ； 唐瑞祥(Jui-Hsiang Tang) ； 陳邦基(Pang-Chi Chen) ； 劉乃仁(Nai-Jen Liu)

《臺灣消化醫學雜誌》 28卷1期 (2011/03) Pp. 51-56

https://doi.org/10.6557/GJT.201103_28(1).0008

摘要

來自空腸的成年人淋巴管瘤合併腸道出血是一種很少見的疾病，利用內視鏡可用成功在位於十二指腸及大腸的淋巴管瘤做術前診斷，但是位於空腸或迴腸淋巴管瘤仍然很難於術前診斷。我們發表一位50歲女性病人再次發生腸道出血，並且利用雙氣囊小腸鏡對空腸的淋巴管瘤診斷切片並定位，利用腹腔鏡協助做迷你開腹手術來切除病灶，經過2年以上的追蹤病人並無復發。

關鍵字

雙氣囊小腸鏡術 ； 腹腔鏡手術 ； 空腸淋巴管瘤

並列摘要

A patient with recurrent gastrointestinal bleeding from the distal jejunal lymphangioma was diagnosed preoperatively. The diagnosis was made by using double-balloon enteroscopy with biopsy. Endoscopic examination showed a yellowish-whitish surface with red and white specks indicate of a polypoid tumor. The patient received the laparoscopic assisted surgery to remove the lesion and no recurrent symptom was noted after two years followup. Lymphangioma of the duodenum and colon may be successfully diagnosed preoperatively by routine endoscopy. Nonetheless, such a diagnosis is hard to make when the lesion is in the distal small intestine. Double-balloon enteroscopy is a useful diagnostic tool, and rarely accurately diagnosed preoperatively for lymphangioma of the small intestine in a patient with otherwise unexplained overt gastrointestinal bleeding.

並列關鍵字

double-balloon enteroscopy ； laparoscopic assisted surgery ； jejunal lymphangioma