{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:05:03Z","timestamp":1747181103622,"version":"3.40.5"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"47","license":[{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,11,25]]},"abstract":"<jats:sec>\n            <jats:title>Rationale:<\/jats:title>\n            <jats:p>Lymphangiomas are lymphatic malformations most commonly found in the head, neck and axilla. Their incidence in gastrointestinal tract, especially duodenum is very rare. They are mostly congenital and are usually seen in children. Owing to their asymptomatic nature, these tumors are often diagnosed incidentally. Surgical resection is the definite treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patient concerns:<\/jats:title>\n            <jats:p>We represent a case of a 30-year-old male with duodenal lymphangioma with presentation of intermittent dyspepsia for 1 year, partially relieved by a proton pump inhibitor.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diagnoses:<\/jats:title>\n            <jats:p>Upon physical examination, there was mild tenderness observed in the epigastrium. The rest of the physical examination was unremarkable. His complete blood count report was unremarkable. Upon a negative stool for <jats:italic toggle=\"yes\">Helicobacter pylori<\/jats:italic> antigen test, the patient underwent an esophagogastroduodenoscopy which revealed <jats:italic toggle=\"yes\">H pylori<\/jats:italic> gastritis and a duodenal lymphangioma.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interventions:<\/jats:title>\n            <jats:p>Patient was put on triple therapy (clarithromycin, amoxicillin and omeprazole) for 14 days and his symptoms improved. The lymphangioma was not resected owing to small size.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcomes:<\/jats:title>\n            <jats:p>Patient was followed till 1 year and his symptoms had improved.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Lessons:<\/jats:title>\n            <jats:p>The case describes a correlation between <jats:italic toggle=\"yes\">H pylori<\/jats:italic> gastritis and a duodenal lymphangioma. There is likely to be an association between the two and therefore, further studies are required to find out any relationship that may exist between the 2 conditions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000031455","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T20:08:09Z","timestamp":1669838889000},"page":"e31455","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Rare finding of duodenal lymphangioma in a patient with Helicobacter pylori associated gastritis: A case report"],"prefix":"10.1097","volume":"101","author":[{"given":"Summaiya","family":"Waheed","sequence":"first","affiliation":[{"name":"Dr. Ruth K. M. Pfau, Civil Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naresh Kumar","family":"Seetlani","sequence":"additional","affiliation":[{"name":"Dr. Ruth K. M. Pfau, Civil Hospital, Karachi, Pakistan"},{"name":"Dow Medical College, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Ashfaq","sequence":"additional","affiliation":[{"name":"Nishtar Medical University and Hospital, Multan, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Junaid","family":"Tahir","sequence":"additional","affiliation":[{"name":"Lahore General Hospital, Lahore, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4608-5321","authenticated-orcid":false,"given":"Khabab","family":"Abbasher Hussien Mohamed Ahmed","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Khartoum, Khartoum, Sudan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineeta","family":"Kumari","sequence":"additional","affiliation":[{"name":"Dow University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohaib","family":"Yousaf","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation, Doha, Qatar."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.radcr.2020.10.052","article-title":"Intra-abdominal lymphangioma: a case report","volume":"16","author":"Shayesteh","year":"2020","journal-title":"Radiol Case Rep"},{"key":"R2-20250504","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1159\/000351831","article-title":"Observation of lymphangioma of the duodenum by a magnifying endoscope with a narrow-band imaging system","volume":"7","author":"Iwamuro","year":"2013","journal-title":"Case Rep Gastroenterol"},{"key":"R3-20250504","first-page":"60","article-title":"Solitary cavernous lymphangioma of the duodenum: a case report","volume":"78","author":"Noujaim","year":"2015","journal-title":"Acta Gastroenterol Belg"},{"key":"R4-20250504","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1055\/s-2007-1018391","article-title":"Lymphangioma of the duodenum: an ultrastructural study","volume":"18","author":"Aneiros","year":"1986","journal-title":"Endoscopy"},{"key":"R5-20250504","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.21873\/anticanres.14112","article-title":"Adult lymphangioma of the oropharynx: a case report","volume":"40","author":"Chen","year":"2020","journal-title":"Anticancer Res"},{"key":"R6-20250504","doi-asserted-by":"crossref","first-page":"320","DOI":"10.3748\/wjg.v13.i2.320","article-title":"Gallbladder lymphangioma: a case report and review of the literature","volume":"13","author":"Kim","year":"2007","journal-title":"World J Gastroenterol"},{"key":"R7-20250504","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-0028-1098515","article-title":"Lymphangioma of the duodenum. (diagnosis by endoscopic resection)","volume":"9","author":"Sauerbruch","year":"1977","journal-title":"Endoscopy"},{"key":"R8-20250504","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/BF02473401","article-title":"Lymphangioma of the duodenum: report of a case","volume":"24","author":"Ikura","year":"1994","journal-title":"Surg Today"},{"key":"R9-20250504","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1055\/s-2007-1021740","article-title":"A further case of submucosal lymphangioma of the duodenum diagnosed during endoscopy","volume":"12","author":"Gangl","year":"1980","journal-title":"Endoscopy"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000031455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T05:08:47Z","timestamp":1746335327000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000031455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,25]]},"references-count":9,"journal-issue":{"issue":"47","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000031455","relation":{},"ISSN":["1536-5964"],"issn-type":[{"type":"electronic","value":"1536-5964"}],"subject":[],"published":{"date-parts":[[2022,11,25]]}}}