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Published on: March 8, 2013
Intestinal lymphangiectasia: evaluation by CT and scintigraphy
A S Puri1, R Aggarwal, R K Gupta
1Department of Gastroenterology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, India.
Insights
Intestinal lymphangiectasia, a rare disorder, can cause severe diarrhea and edema. This case highlights diagnostic imaging findings and clinical presentation of this condition.
Area of Science:
- Gastroenterology
- Medical Imaging
Background:
- Intestinal lymphangiectasia is a rare condition characterized by dilation of intestinal lymphatic vessels.
- It leads to protein-losing enteropathy, malabsorption, and fluid imbalances.
Observation:
- A 40-year-old male presented with severe diarrhea and generalized edema.
- Clinical examination, laboratory tests, and duodenal biopsy confirmed the diagnosis.
Findings:
- Computed tomography (CT) revealed characteristic abnormalities.
- Scintigraphy using technetium-99m labeled human serum albumin (99mTc HSA) demonstrated impaired lymphatic drainage.
Implications:
- This case underscores the importance of considering intestinal lymphangiectasia in patients with unexplained diarrhea and edema.
- Diagnostic imaging, including CT and scintigraphy, plays a crucial role in identifying the characteristic findings of this condition.
- Understanding these imaging features aids in timely diagnosis and management.
Abstract:
Intestinal lymphangiectasia caused severe diarrhea and generalized edema in a 40-year-old man. The diagnosis was established by clinical, laboratory, and duodenal biopsy findings. The abnormalities detected on computed tomography (CT) and scintigraphy using 99mTc human serum albumin are herein described and pertinent literature is briefly reviewed.
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