An adult case of lymphangiomatosis of the mediastinum, pulmonary interstitium and retroperitoneum complicated by chronic disseminated intravascular coagulation

Pulmonary lymphangiomatosis is a rare clinical and pathological entity which is distinct from lymphangiomyomatosis and from pulmonary lymphangiectasis. We report a case of a 20 year old man with diffuse lymphangiomatosis involving the mediastinum, lungs and retroperitoneum. The patient's intrathoracic lymphangiomatosis produced restrictive and obstructive impairment of his pulmonary function, but did not result in chylothorax or chylopericardium, which are two common manifestations of the disease. The patient's clinical course was remarkable for the concomitant development of chronic disseminated intravascular coagulation (DIC). Lymphangiomatosis involving both the mediastinum and pulmonary parenchyma is rare, and DIC is a very unusual complication of lymphangiomatosis.

This article has been cited by other articles:

				C. Zisis, K. Spiliotopoulos, M. Patronis, G. Filippakis, G. Stratakos, G. Tzelepis, and I. Bellenis Diffuse lymphangiomatosis: Are there any clinical or therapeutic standards? J. Thorac. Cardiovasc. Surg., June 1, 2007; 133(6): 1664 - 1665. [Full Text] [PDF]

				J. G. Park, M.-C. Aubry, J. A. Godfrey, and D. E. Midthun Mediastinal Lymphangioma: Mayo Clinic Experience of 25 Cases Mayo Clin. Proc., September 1, 2006; 81(9): 1197 - 1203. [Abstract] [Full Text] [PDF]

				I. Nishio, G. L. Mandell, S. Ramanathan, and J. H. Sumkin Epidural Labor Analgesia for a Patient with Disseminated Lymphangiomatosis Anesth. Analg., June 1, 2003; 96(6): 1805 - 1808. [Abstract] [Full Text] [PDF]

				J. L. FAUL, G. J. BERRY, T. V. COLBY, S. J. RUOSS, M. B. WALTER, G. D. ROSEN, and T. A. RAFFIN Thoracic Lymphangiomas, Lymphangiectasis, Lymphangiomatosis, and Lymphatic Dysplasia Syndrome Am. J. Respir. Crit. Care Med., March 1, 2000; 161(3): 1037 - 1046. [Full Text] [PDF]