Lymphangiomatosis associated with protein losing enteropathy: A case report

Figure 1 Abdominal computed tomography. A: A cystic lesion in the spleen; B: A cystic lesion in the left kidney; C: A cystic lesion in the liver, ascites, and pleural effusion; D: Thickening of the ascending colon wall.

Figure 2 Colonoscopy. A: Colonoscopy revealed a strawberry mucosa and variable spontaneous bleeding located in the terminal ileum; B and C: Multiple cystic masses with a translucent and smooth surface, and diffuse white spots located in the colon; D: A laterally spreading tumor located in the ascending colon.

Figure 3 Pathology. A and B: A large amount of vascular hyperplasia and dilatation was observed in the mucosal muscular layer and submucosa [A: Hematoxylin-eosin stain (HE) × 100; B: HE × 400]; C and D: Immunohistochemically stained tumor sections showed that lymph vessels in the intestine were dilated, and D2-40 was positive (C: × 40; D: × 100).