Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1208-1214
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1208
Intermittent melena and refractory anemia due to jejunal cavernous lymphangioma: A case report
Kai-Rui Liu, Sheng Zhang, Wei-Run Chen, You-Xing Huang, Xu-Guang Li
Kai-Rui Liu, Sheng Zhang, Wei-Run Chen, You-Xing Huang, Department of Abdominal Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China
Xu-Guang Li, Department of General Surgery, The Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou 510000, Guangdong Province, China
Xu-Guang Li, Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and The Ministry of Education of China, Guangzhou Medical University, Guangzhou 510000, Guangdong Province, China
Author contributions: Liu KR and Li XG conceived and designed the study, read and analyzed the documents, and drafted the manuscript; Zhang S collected the medical data; Chen WR participated in the clinical assessment at each visit during the follow-up; Huang YX provided suggestions on the diagnosis and operation of the patients; Li XG performed the surgical resection. All the authors read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xu-Guang Li, PhD, Chief Doctor, Department of General Surgery, The Affiliated Brain Hospital of Guangzhou Medical University, No. 36 Mingxin Road, Liwan District, Guangzhou 510000, Guangdong Province, China. 42312801@qq.com
Received: January 16, 2024
Peer-review started: January 16, 2024
First decision: February 2, 2024
Revised: February 14, 2024
Accepted: March 21, 2024
Article in press: March 21, 2024
Published online: April 27, 2024
Core Tip

Core Tip: We report a patient with recurrent melena and refractory anemia that was misdiagnosed as obscure gastrointestinal bleeding or intestinal ischemia for 9 months. A definite diagnosis of jejunal cavernous lymphangioma was made through capsule endoscopy, double-balloon enteroscopy, and biopsy. After surgical resection of the lesion, both the melena and anemia resolved.