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Localized Intestinal Lymphangiectasia: CT Findings

Dal Mo Yang1 and Dong Hae Jung2

1 Department of Radiology, Gachon Medical College, Gil Medical Center, 1198, Guwol-Dong, Namdong-Gu, Inchon, 405-760, South Korea.
2 Department of Pathology, Gachon Medical College, Gil Medical Center, Inchon, 405-760, South Korea.



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  		Fig. 1A. —37-year-old man with localized intestinal lymphangiectasia. Contrast-enhanced CT scan shows circumferential thickening of wall of jejunum (arrow) with low attenuation. Moderate amount of hematoma can be seen in left anterior pararenal space.

 


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  		Fig. 1B. —37-year-old man with localized intestinal lymphangiectasia. Contrast-enhanced CT scan obtained 7 days after admission shows hematoma of left retroperitoneum is decreased, but wall thickening of jejunum (arrow) is not changed.

 


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  		Fig. 1C. —37-year-old man with localized intestinal lymphangiectasia. Photograph of gross specimen of portion of jejunum shows segmental wall thickening with prominent plicae circulares. Mucosa is yellow due to large amount of lymphatic fluid in dilated lymph vessels.

 


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  		Fig. 1D. —37-year-old man with localized intestinal lymphangiectasia. Photomicrograph of mucosal and submucosal tissue from wall of jejunum shows severe lymphatic dilatation in submucosa with marked engorgement of plicae circulares. Lymphatic dilatation is also visible in villi. (H and E, x10)

 

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