A Case of Primary Intestinal Lymphangiectasia
Autor: | Hyun Woo Lee, Byeong Ik Jang, Moon Kwan Chung, Hyoung Woo Lee, Kyu Chang Won, Tae Nyeun Kim |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male medicine.medical_specialty Pathology Biopsy Peripheral edema Lumen (anatomy) Case Report Gastroenterology Endoscopy Gastrointestinal Intestinal lymphangiectasia Hypoproteinemia Protein losing enteropathy Internal medicine Intestine Small medicine Humans Radionuclide Imaging Technetium Tc 99m Aggregated Albumin Gastrointestinal tract medicine.diagnostic_test business.industry 99mTc-HSA scintigraphy medicine.disease Diarrhea Lymph medicine.symptom business Lymphangiectasis Intestinal |
Zdroj: | The Korean Journal of Internal Medicine |
ISSN: | 2005-6648 1226-3303 |
DOI: | 10.3904/kjim.1993.8.1.51 |
Popis: | A 26-year-old male patient who had an 8 years history of recurrent peripheral edema with diarrhea and hypoproteinemia was evaluated. Endoscopic jejunal and ileal biopsy revealed markedly dilated mucosal lymph vessels with no evidence of inflammation. 99mTc-labeled human serum albumin (HSA) scintigraphy showed significant activity accumulating in the gastrointestinal tract to represent 99mTc-HSA leakage into the bowel lumen. A diagnosis of protein losing enteropathy and intestinal lymphangiectasia could be made. After treatment with a high protein and fat restricted diet, his symptoms subsided and the serum protein level was normalized. |
Databáze: | OpenAIRE |
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