title: A case of primary intestinal lymphangiectasia.
abstract: 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.
authors.affiliation: Department of Internal Medicine, College of Medicine, Yeungnam University, Taegu, Korea.
authors.forename: K C
authors.initials: KC
authors.lastname: Won
authors.forename: B I
authors.initials: BI
authors.lastname: Jang
authors.forename: T N
authors.initials: TN
authors.lastname: Kim
authors.forename: H W
authors.initials: HW
authors.lastname: Lee
authors.forename: M K
authors.initials: MK
authors.lastname: Chung
authors.forename: H W
authors.initials: HW
authors.lastname: Lee
mesh_terms: D000328:Adult; D001706:Biopsy; D016099:Endoscopy, Gastrointestinal; D006801:Humans; D007421:Intestine, Small / Q000473:pathology; D008201:Lymphangiectasis, Intestinal / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D011877:Radionuclide Imaging; D013668:Technetium Tc 99m Aggregated Albumin
chemical_list: D013668:Technetium Tc 99m Aggregated Albumin