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1993 ; 8
(1
): 51-5
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A case of primary intestinal lymphangiectasia
#MMPMID8268148
Won KC
; Jang BI
; Kim TN
; Lee HW
; Chung MK
; Lee HW
Korean J Intern Med
1993[Jan]; 8
(1
): 51-5
PMID8268148
show ga
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.