2001 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) St
Surg Endosc (2001 ) 15: S 104-S 176 DOI: 10.1007/s00464-001-0015-5 Surgical Endoscopy Ultrasound and Interventional Techniques 9 Spnngcr-VerlagNew York Inc. 2001 2001 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) St. Louis, Missouri, USA, 18-21 April 2001 Poster presentations* LAPAROSCOPIC "RADICAL APPENDECTOMY" IS AN EFFECTIVE LAPAROSCOPIC RESECTION OF A BLEEDING ILEAL ALTERNATIVE TO ENDOSCOPIC REMOVAL OF CECAL POLYPS LYMPHANGIOMA Gina L. Adrales, M.D., Sharon L. Goldstein, M.D., Brent D. Matthews, Gina Adrales, M.D., Sharon Goldstein, M.D., Brent Matthews, M.D., Richard L. Sigmon, Jr., M.D., Kent W. Kercher, M.D., B. Todd M.D., Robert T. Yavorski, M.D., William C. Sugg, M.D., B. Todd Heniford, M.D., Department of Surgery and Charlotte Clinic for Heniford, M.D., Gastrointestinal and Liver Diseases, Carolinas Medical Center, Department of Surgery and Charlotte Medical Clinic, Carolinas Charlotte, North Carolina Medical Center, Charlotte, North Carolina. The endoscopic approach to cecal polyp resection harbors several possible complications, including the risks of perforation and bleeding. Gastrointestinal lymphangioma is a rare entity. These benign In addition, failure to remove the polyp in its entirety frequently requires tumors are composed of abnormally dilated lymphatic channels. multiple endoscopies for resection and confirmation of resection. Though often asymptomatic, small intestinal lymphangiomas may Laparoscopic "radical appendectomy" represents a safe alternative to become clinically significant as the cause of intestinal obstruc- endoscopic treatment with the potential to reduce the risk of recurrence tion, intussusception, or hemorrhage. We present an unusual and subsequentmalignancy. case of laparoscopic resection of a bleeding ileal lymphangioma Four I~atientswith edenomatous polyps of the cecum were treated with and a review of the literature.
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