{"title":"18岁女性淋巴结切除及下腔静脉损伤后十二指肠获得性肠淋巴管扩张一例。","authors":"David Bickford, Chris Schmoyer, Chung Sang Tse","doi":"10.14309/crj.0000000000001614","DOIUrl":null,"url":null,"abstract":"<p><p>Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 2","pages":"e01614"},"PeriodicalIF":0.6000,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827988/pdf/","citationCount":"0","resultStr":"{\"title\":\"Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman.\",\"authors\":\"David Bickford, Chris Schmoyer, Chung Sang Tse\",\"doi\":\"10.14309/crj.0000000000001614\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.</p>\",\"PeriodicalId\":7394,\"journal\":{\"name\":\"ACG Case Reports Journal\",\"volume\":\"12 2\",\"pages\":\"e01614\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-02-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827988/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"ACG Case Reports Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14309/crj.0000000000001614\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001614","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman.
Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.
期刊介绍:
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.