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Updated: Jun 20, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Protein-losing enteropathy caused by a thoracic cyst]
Atef Kinani1, Troels Havelund, Torben Knudsen
1Medicinsk Gastroenterologisk Afdeling, Medicinsk Område, Sydvestjysk Sygehus, Esbjerg, DK-6700 Esbjerg. atefhj@yahoo.dk
Abstract:
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.
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