Small bowel lymphangioma: a multidisciplinary approach to diagnostic uncertainty

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.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's complex diagnostic and management journey.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's perspective highlights the impact such uncertainty can have on the patient experience, emphasising the importance of holistic patient management, considering a patient's psychological as well as physiological needs.