Fibrotic entrapment of the small bowel in congenital intestinal lymphangiectasia.
Congenital intestinal lymphangiectasia is a rare protein-losing enteropathy that is characterized by diarrhea and peripheral edema. This report presents a 37-yr-old woman who had suffered from recurrent diarrhea and peripheral edema since her early childhood and who was admitted for severe attacks of abdominal pain. A diagnosis of intestinal lymphangiectasia was made endoscopically, histologically, and radiographically. Laparotomy revealed complete fibrotic entrapment of the small bowel, which caused partial mechanical bowel obstruction. Surgical decortication led to recovery. To the best of our knowledge, this is the first report on fibrotic entrapment of the small bowel in a patient with long lasting intestinal lymphangiectasia.
Department of Medicine II, Klinikum Grosshadern, University of Munich, Germany.
C
C
Rust
E
E
Pratschke
W
W
Hartl
M
M
Kessler
B
B
Weibecke
T
T
Sauerbruch
G
G
Paumgartner
U
U
Beuers
D000328:Adult; D005260:Female; D005355:Fibrosis; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery; D007082:Ileum / Q000473:pathology; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology / Q000601:surgery; D007583:Jejunum / Q000473:pathology; D008201:Lymphangiectasis, Intestinal / Q000151:congenital* / Q000473:pathology