Intestinal lymphangiectasia: value of double-contrast radiographic study.
Intestinal lymphangiectasia is a disorder presenting as enteric protein loss through the dilated lymphatics without mucosal ulceration. To determine the double-contrast radiographic features and to assess the significance of them, five patients with intestinal lymphangiectasia were examined using single- and double-contrast small intestinal studies. The double-contrast examinations demonstrated clearly the main radiographic findings of smooth nodular protrusions, thickening of the mucosal folds, with no evidence of mucosal ulceration. Compared with the single-contrast study, smooth nodular protrusions were seen more often and in more widespread segments, particularly in the duodenum, on double-contrast study. Thickening of the mucosal folds was revealed similarly by both methods. Double-contrast study appears to be worthwhile to demonstrate the characteristic radiographic findings of this disease.
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
K
K
Aoyagi
M
M
Iida
T
T
Yao
T
T
Matsui
M
M
Okada
M
M
Fujishima
D000293:Adolescent; D000328:Adult; D000368:Aged; D003287:Contrast Media; D004378:Duodenal Diseases / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000000981:diagnostic imaging; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging*; D008201:Lymphangiectasis, Intestinal / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011859:Radiography
D003287:Contrast Media