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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 5  |  Page : 335-338

Diagnosis of cystic lymphangioma of the colon by endoscopic ultrasound: Biopsy is not needed!


1 Department of Gastroenterology, Hepatology and Nutrition, University of Texas MD Anderson Cancer Center, Houston, Texas, USA
2 Department of Medicine, Mt. Sinai Saint Luke's Hospital, New York City, New York, USA
3 Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Hikarogaoka, Fukushima, Japan

Correspondence Address:
Manoop S Bhutani
Department of Gastroenterology, Hepatology and Nutrition-Unit 1466, University of Texas MD Anderson ­Cancer Center, 1515 Holcombe Boulevard, Houston, Texas - 77030-4009
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.191668

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Cystic lymphangioma of the colon (CLC) is a rare benign lesion that is usually asymptomatic and found incidentally during colonoscopy. Limitations in the conventional noninvasive diagnostic techniques have led to surgical resection of these lesions for diagnostic confirmation. Classic endoscopic ultrasound (EUS) findings of colonic cystic lymphangioma are submucosal anechoic cystic spaces with septations, intact muscularis propria, and no solid component. Patients who are asymptomatic with lesions having classic appearance as cystic lymphangioma with EUS can be observed without any intervention. We herein report a case of cystic lymphangioma of distal transverse colon in an asymptomatic patient diagnosed noninvasively using 20-MHz miniprobe EUS and managed conservatively without any surgical intervention.


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