Korean J Pediatr Gastroenterol Nutr.
1999 Mar;2(1):93-98.
Endoscopic Diagnosis of Primary Intestinal Lymphangiectasia Using a High-fat Meal in a 20-Month-Old Boy
- Affiliations
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- 1Department of Pathology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
- 2Department of Diagnostic Radiology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
- 3Department of Pathology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
Abstract
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We experienced a case of primary intestinal lymphangiectasia in a 20-month-old boy, which was confirmed gastrofiberscopically and histologically only after a high-fat meal before the procedure. A characteristic endoscopic finding was the appearance of tiny white dots scattered in the duodenal mucosa, which were proved dilated lymph vessels in the lamina propria on histological examination. Treatment with low-fat diet and medium chain triglycerides supplementation was satisfactory.