Secondary lymphangiectasia of the small bowel: utility of double balloon enteroscopy for diagnosis and management.
Sporadic lymphangiectasias are commonly found throughout the small bowel and are considered to be normal. Not uncommonly, lymphangiectasias are pathologic and can lead to mid-gastrointestinal bleeding, abdominal pain and protein-losing enteropathy. Pathologic lymphangiectasias of the small bowel include primary lymphangiectasia, secondary lymphangiectasia and lymphaticovenous malformations. In this report we present three different cases of small bowel lymphangiectasia detected by double balloon enteroscopy. The patients were diagnosed with South American blastomycosis, tuberculosis and primary small bowel lymphangioma.
Safatle-Ribeiro
Adriana Vaz
AV
Gastrointestinal Endoscopy Unit, Department of Gastroenterology, University of São Paulo, São Paulo, Brazil. adrisafatleribeiro@terra.com.br
Iriya
Kiyoshi
K
Couto
Décio Sampaio
DS
Kawaguti
Fábio Shiguehiss
FS
Retes
Felipe
F
Ribeiro
Ulysses
U
Sakai
Paulo
P
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000473:pathology; D006801:Humans; D007414:Intestinal Neoplasms / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology; D008200:Lymphangiectasis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D008202:Lymphangioma / Q000150:complications / Q000473:pathology; D008297:Male