[Sucessful dietetic-therapy in primary intestinal lymphangiectasia and recurrent chylous ascites: a case report].
OBJECTIVE
Primary intestinal lymphangiectasia is a lymphatic system's disorder, where lymphatic drainage is blockaged. Clinically it produces malabsorption, protein-losing enteropathy, hypogammaglobulin in blood, and several degrees of malnutrition. Its treatment is not easy and includes dietetic-therapy and drugs.


METHODS
A 35-year-old-woman case report is exposed. She has recurrent chylosa ascites, requiring several admissions and evacuatory paracentesis. After food-fat was replaced by medium-chain triacyl-glicerol-enriched diet, a clinical, analytical and anthropometric improvement was demonstrated.


CONCLUSIONS
The major way of treatment in intestinal lymphangiectasia in this case is the employement of specific-diet and adaptaded-basic-food. It's difficult and high collaboration of the patient is required, being necessary medical revisions during the whole life, due to the not well known evolution of this long-standing disease.
Martín
C Campos
CC
Unidad de Nutrición Clínica y Dietética, Servicio de Endocrinología y Nutrición, Hospital Universitario Virgen Macarena, Sevilla, España. smaradigna@hotmail.com
García
A Fernández-Argüelles
AF
Restrepo
J M Rabat
JM
Pérez
A Sendón
AS
D000328:Adult; D002915:Chylous Ascites / Q000150:complications* / Q000178:diet therapy*; D005260:Female; D006801:Humans; D008201:Lymphangiectasis, Intestinal / Q000150:complications* / Q000178:diet therapy*; D012008:Recurrence