Small Bowel Lymphangioma - A Rare Cause of Small Bowel Bleeding

Lymphangiomas represent benign embryonic vascular malformations of the lymphatic architecture. A symptomatic small bowel lymphangioma in an adult is a rare finding. Here we present a case of a 93 year-old male who had a 3-month history of intermittent melena. After an unrevealing upper endoscopy, colonoscopy was significant for blood emanating from the ileo-cecal valve. Video capsule endoscopy was significant for bright blood and clots in jejunum. Small bowel enteroscopy demonstrated multiple jejunal sub-mucosal masses. The bleeding lesion was biopsied and then successfully treated with Argon Plasma Coagulation (APC). Histopathology was consistent with a lymphangioma.