Endoscopic diagnosis of primary intestinal lymphangiectasia using a high-fat meal.
The case of a 17-year-old woman is described, in whom a suspected diagnosis of primary intestinal lymphangiectasia was confirmed endoscopically and histologically only after a high-fat meal had been given the night before the procedure. A characteristic endoscopic finding was the appearance of tiny white dots scattered in the duodenum and jejunum, which on histological examination proved to be dilated lymph vessels. Treatment with low-fat diet and MCT-supplementation was successful.
D000293:Adolescent; D001706:Biopsy; D004041:Dietary Fats; D004724:Endoscopy; D005260:Female; D006801:Humans; D008201:Lymphangiectasis, Intestinal / Q000175:diagnosis* / Q000473:pathology; D011504:Protein-Losing Enteropathies / Q000175:diagnosis*; D014280:Triglycerides
D004041:Dietary Fats; D014280:Triglycerides