{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:04Z","timestamp":1756320004955,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,12,5]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Intra-abdominal lymphangioma, a rare benign lymphatic malformation resulting from an obstruction to lymphatic channels, often has non-specific clinical manifestations. Low incidence rates of this condition, paired with its unusual presentation and ambiguous radiological appearance, commonly lead to diagnostic uncertainty. This pathology can result in significant morbidity and mortality, emphasising the need to achieve early diagnosis and management despite these challenges.<\/jats:p>\n               <jats:p>Here, we discuss a case of a young woman with a small bowel lymphangioma presenting with abdominal pain and explore the difficulties and successes throughout this patient\u2019s complex diagnostic and management journey.<\/jats:p>\n               <jats:p>This case reinforces the importance of strong multidisciplinary teamwork and communication, as well as the delivery of patient-centred care, when managing patients presenting with non-specific clinical signs and symptoms. The patient\u2019s perspective highlights the impact such uncertainty can have on the patient experience, emphasising the importance of holistic patient management, considering a patient\u2019s psychological as well as physiological needs.<\/jats:p>","DOI":"10.1136\/bcr-2024-261671","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T21:10:20Z","timestamp":1736457020000},"page":"e261671","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Small bowel lymphangioma: a multidisciplinary approach to diagnostic uncertainty"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7558-2901","authenticated-orcid":false,"given":"Molly Mead","family":"Nichols","sequence":"first","affiliation":[{"name":"General Surgery, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruqayya","family":"Lockhart","sequence":"additional","affiliation":[{"name":"Barking Havering and Redbridge University Hospitals NHS Trust, Romford, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6255-9510","authenticated-orcid":false,"given":"Michael","family":"Rathbone","sequence":"additional","affiliation":[{"name":"Histopathology, Whipps Cross University Hospital, London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Reading","sequence":"additional","affiliation":[{"name":"Radiology, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinayata","family":"Sheshappanavar","sequence":"additional","affiliation":[{"name":"Histopathology, Whipps Cross University Hospital, London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Davies","sequence":"additional","affiliation":[{"name":"General Surgery, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"2025082711092914000_18.1.e261671.1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760519"},{"key":"2025082711092914000_18.1.e261671.2","first-page":"411","article-title":"Unilateral, Blaschkoid, Large Lymphangioma Circumscriptum: Micro- and Macrocystic Manifestations","volume":"16","author":"Sehgal","year":"2018","journal-title":"Skinmed"},{"key":"2025082711092914000_18.1.e261671.3","unstructured":"Miceli A , Stewart KM . Lymphangioma. Treasure Island (FL): StatPearls, 2024. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470333\/"},{"key":"2025082711092914000_18.1.e261671.4","first-page":"663","article-title":"Small Bowel Lymphangioma","volume":"1","author":"Tang","year":"2014","journal-title":"Vid J Encycl GI Endosc"},{"key":"2025082711092914000_18.1.e261671.5","unstructured":"Enzinger FM , Weiss SW . Tumors of lymph vessels. In: Enzinger FM , Weiss SW , eds. Soft Tissue Tumors. 3rd edn. St. Louis(MO): Mosby, 1995: 679\u201399. Available: https:\/\/books.google.co.uk\/books?id=8zIuQzik8WAC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false"},{"key":"2025082711092914000_18.1.e261671.6","doi-asserted-by":"crossref","first-page":"52","DOI":"10.4174\/astr.2018.94.1.52","article-title":"Surgery of multiple lymphangioma in small bowel: a rare case report of chronic gastrointestinal bleeding","volume":"94","author":"Lim","year":"2018","journal-title":"Ann Surg Treat Res"},{"key":"2025082711092914000_18.1.e261671.7","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i43.6328"},{"key":"2025082711092914000_18.1.e261671.8","unstructured":"Stuempfig ND , Seroy J . Viral Gastroenteritis. StatPearls, 2024. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK518995\/"},{"key":"2025082711092914000_18.1.e261671.9","unstructured":"Sattar SBA , Singh S . Bacterial Gastroenteritis. StatPearls, 2024. 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Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK564347\/"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:09:37Z","timestamp":1756318177000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1,9]]},"published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1136\/bcr-2024-261671"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261671","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}