[Protein-losing enteropathy caused by a thoracic cyst].
A case of gastrointestinal protein loss in a 58-year-old man presenting with peripheral oedema and low levels of serum proteins is presented. Measurement of gastrointestinal protein loss with 111Indium-labelled transferrin showed a protein loss of 12.5% over 96 hours. Capsule endoscopy showed villous lymphangiectasia and it was assumed that the protein loss was secondary to a large left-sided thoracic cyst obstructing the thoracic lymph drainage. The patient improved following surgical removal of the cyst.
Kinani
Atef
A
Medicinsk Gastroenterologisk Afdeling, Medicinsk Område, Sydvestjysk Sygehus, Esbjerg, DK-6700 Esbjerg. atefhj@yahoo.dk
Havelund
Troels
T
Knudsen
Torben
T
D053704:Capsule Endoscopy; D003560:Cysts / Q000150:complications* / Q000601:surgery; D006801:Humans; D007205:Indium Radioisotopes; D008201:Lymphangiectasis, Intestinal / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011504:Protein-Losing Enteropathies / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D013909:Thorax
D007205:Indium Radioisotopes