Duodenal-Acquired Intestinal Lymphangiectasia After Lymph Node Excision and Inferior Vena Cava Injury in an 18-Year-Old Woman

Intestinal lymphangiectasia (IL) is a rare disorder characterized by dilation and obstruction of the small bowel lymphatic ducts, resulting in malabsorptive diarrhea and edema. While the majority of IL is congenital and presents in infancy, secondary acquired IL rarely presents as a long-term sequela after abdominal or pelvic surgeries. We report an 18-year-old woman who underwent surgical resection of ovarian cancer with subsequent endoscopic and histologic evidence of duodenal IL. This case highlights the importance of increased endoscopic awareness for iatrogenic acquired IL in clinical practice.