Surgical resection of duodenal lymphangiectasia: a case report

Intestinal lymphangiectasia, characterized by dilatation of intestinal lacteals, is rare. The major treatment for primary intestinal lymphangiectasia is dietary modification. Surgery to relieve symptoms and to clarify the etiology should be considered when medical treatment failed. This article repo...

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Published inWorld journal of gastroenterology : WJG Vol. 9; no. 12; pp. 2880 - 2882
Main Authors Chen, Chih-Ping, Chao, Yee, Li, Chung-Pin, Lo, Wen-Ching, Wu, Chew-Wun, Tsay, Shyh-Haw, Lee, Rheun-Chuan, Chang, Full-Young
Format Journal Article
LanguageEnglish
Published United States Division of Gastroenterology, Department of Medicine,Taipei Veterans General Hospital and Institute of Clinical Medicine,National Yang-Ming University School of Medicine, Taipei,Taiwan, China%Cancer Center, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei,Taiwan, China%Division of General Surgery,Department of Surgery, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, China %Department of Pathology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine,Taipei, Taiwan, China%Department of Radiology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, China 01.12.2003
Baishideng Publishing Group Inc
Subjects
Case Report
Duodenal Diseases - diagnosis
Duodenal Diseases - pathology
Duodenal Diseases - surgery
Duodenoscopy
Female
Humans
Lymphangiectasis, Intestinal - diagnosis
Lymphangiectasis, Intestinal - pathology
Lymphangiectasis, Intestinal - surgery
Middle Aged
Treatment Outcome
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Summary:Intestinal lymphangiectasia, characterized by dilatation of intestinal lacteals, is rare. The major treatment for primary intestinal lymphangiectasia is dietary modification. Surgery to relieve symptoms and to clarify the etiology should be considered when medical treatment failed. This article reports a 49-year-old woman of solitary duodenal lymphangiectasia, who presented with epigastralgia and anemia. Her symptoms persisted with medical treatment. Surgery was finally performed to relieve the symptoms and to exclude the existence of underlying etiologies, with satisfactory effect. In conclusion, duodenal lymphangiectasia can present clinically as epigastralgia and chronic blood loss. Surgical resection may be resorted to relieve pain, control bleeding, and exclude underlying diseases in some patients.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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Telephone: +86-2-28757308 Fax: +86-2-28739318
Correspondence to: Chung-Pin Li, Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei, 11217, Taiwan, China. cpli@vghtpe.gov.tw
Author contributions: All authors contributed equally to the work.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v9.i12.2880