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Case Studies | Surgery | Indonesia | Volume 13 Issue 1, January 2024

Colorectal Lymphangioma Circumscriptum in Child: A Rare Case Report

Femmy Stefanie Legie | Yustinus Rurie Wirawan | Irna Chandra | Ellyzar

Abstract: Background: Lymphangioma is a rare malformation in the lymphatic system. Lymphangioma generally occurs in the neck and axilla, only 1% of the cases are found in the retroperitoneal organ. We reported a rare case of colorectal lymphangiomacircumscriptum in a 4years old child and colonoscopy was performed. Case Presentation: A 4years old boy came with intermittent hematochezia since 2 yearsold, periumbilical abdominal pain, nausea, vomiting, constipationand a mass protruding from the anus after defecation for 2 days duration. The patient was initially diagnosed with a suspected colorectal polyp, then polypectomy via colonoscopy was perfomed. Histopathological examination of colonic tissue revealeda lymphangioma circumscriptum in the descending colon. Discussion: Lymphangioma can be diagnosed through a detailed history taking, physical examination, and histopathological examination. The role of colonoscopy and histopathological in colorectal lymphangioma is quite significant, as it is mostly performed for diagnosis. Excision of colorectal lymphangioma is required to prevent complications. Conclusion: Colorectal lymphangioma circumscriptum is a congenital benign tumor originating from the lymphatic system with a variety of digestive tract symptoms. The widely used diagnostic modality in this case is colonoscopy. Surgical removal of neoplasms is the best option for treating lymphangiomas.

Keywords: colorectal lymphangioma circumscriptum, colonoscopy

Edition: Volume 13 Issue 1, January 2024,

Pages: 744 - 745