Korean J Gastrointest Endosc.  1999 Aug;19(4):634-642.

A Case of Primary Intestinal Lymphangiectasia

Affiliations
  • 1Department of Pediatrics, Keimyung University, College of Medicine, Taegu, Korea.

Abstract

We described a 22-month-old girl, who suffered from a gereralized edema and intermittent diarrhea for 1 month. Intestinal lymphangiectasia was confirmed by endoscopic biopsy. Endoscopic examination revealed showed the characteristic appearance of tiny white flakes scattered in the duodenum, which a histological examination confirmed to be dilated lymph vessels. The other findings from laboratory examinations included lymphopenia, hypoproteinemia, hypogammaglobulinemia and increased fecal a1-antitrypsin clearance. Treatment consisting of a low-fat diet and MCT supplementation was successful. The therapy has resulted in the disappearance of duodenal lesions previously observed endoscopically.

Keyword

Intestinal lymphangiectasia; Primary; Endoscopy

MeSH Terms

Agammaglobulinemia
Biopsy
Diarrhea
Diet, Fat-Restricted
Duodenum
Edema
Endoscopy
Female
Humans
Hypoproteinemia
Infant
Lymphopenia
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