Intest Res.  2013 Jan;11(1):66-70. 10.5217/ir.2013.11.1.66.

A Case of Primary Intestinal Lymphangiectasia Diagnosed by Double Balloon Enteroscopy

Affiliations
  • 1Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea. jminlee75@nate.com

Abstract

Primary intestinal lymphangiectasia is a congenital lymphatic disorder characterized by dilated intestinal lacteals resulting in lymph leakage into the small bowel lumen and responsible for protein losing enteropathy. As a result, generalized edema, hypoalbuminemia, and lymphocytopenia are clinically manifested. We could not find the reason by several examinations. Therefore, we performed double balloon enteroscopy (DBE), and intestnal lymphangiectasia was diagnosed histologically by a biopsy. DBE is a safe and effective method to diagnose small bowel lymphangiectasia. We report a case of primary intestinal lymphangiectasia, which occurred in a 54-year-old male patient with generalized edema and ascites.

Keyword

Intestinal lymphangiectasia; Double balloon enteroscopy

MeSH Terms

Ascites
Biopsy
Double-Balloon Enteroscopy
Edema
Humans
Hypoalbuminemia
Lymphopenia
Male
Protein-Losing Enteropathies
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