title: Successful treatment of protein-losing enteropathy induced by intestinal lymphangiectasia in a liver cirrhosis patient with octreotide: a case report.
abstract: A 47-yr-old man with hepatitis B virus associated liver cirrhosis was admitted to our hospital with diarrhea and generalized edema and diagnosed as protein-losing enteropathy due to intestinal lymphangiectasia by intestinal biopsy and 99m Tc albumin scan. During hospitalization, he received subcutaneous octreotide therapy. After 2 weeks of octreotide therapy, follow-up albumin scan showed no albumin leakage, and the serum albumin level was sustained. We speculate that liver cirrhosis can be a cause of intestinal lymphangiectasia and administration of octreotide should be considered for patients with intestinal lymphangiectasia whose clinical and bio-chemical abnormalities do not respond to a low-fat diet.
authors.affiliation: Department of Internal Medicine, Hanyang University Kuri Hospital, Guri, Korea.
authors.forename: Hang Lak
authors.initials: HL
authors.lastname: Lee
authors.forename: Dong Soo
authors.initials: DS
authors.lastname: Han
authors.forename: Jin Bae
authors.initials: JB
authors.lastname: Kim
authors.forename: Yong Chul
authors.initials: YC
authors.lastname: Jeon
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Sohn
authors.forename: Joon Soo
authors.initials: JS
authors.lastname: Hahm
mesh_terms: D000293:Adolescent; D000328:Adult; D004386:Duodenum / Q000473:pathology; D005260:Female; D006509:Hepatitis B / Q000150:complications; D006515:Hepatitis B virus / Q000378:metabolism; D006801:Humans; D007410:Intestinal Diseases / Q000188:drug therapy* / Q000821:virology; D007583:Jejunum / Q000473:pathology; D008103:Liver Cirrhosis / Q000188:drug therapy* / Q000821:virology; D008201:Lymphangiectasis, Intestinal / Q000188:drug therapy* / Q000821:virology; D008297:Male; D008875:Middle Aged; D015282:Octreotide / Q000494:pharmacology*; D011504:Protein-Losing Enteropathies / Q000188:drug therapy*
chemical_list: D015282:Octreotide