Small bowel lymphangioma: A rare case of intestinal bleeding

A 28-year-old male with history of melena and anaemia went o Emergency Unit for weakness: laboratory tests revealed severe naemia with haemoglobin of 4 g/dL. Thereafter endoscopic invesigation revealed a bleeding circumferential ulcerated lesion of he third duodenal segment (Fig. 1A). An abdominal computerized omography scan showed an inhomogeneous mass involving a tract f jejunum with intestinal lumen stenosis (Fig. 1B). Histopathoogical examination demonstrated numerous dilated lymphatic essels in the mucous corium with histiocytes compatible with ymphangiectasia (Fig. 2A(H&E staining) and B(D2-40 staining) – 0× magnification). Considering the radiological findings and the multiple gasrointestinal bleeding episodes, the patient underwent surgicalry esection of third and fourth duodenal segments and a small tract f jejunum. Histological examination confirmed an intestinal lymhangioma.