Open Access
Endosc Int Open 2014; 02(04): E262-E264
DOI: 10.1055/s-0034-1377382
Case report
© Georg Thieme Verlag KG Stuttgart · New York

An unusual cause of ankle swelling

Rhys O. Butcher
1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
,
Laura Kinsey
1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
,
Hui Y. Lee
1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
,
Lucy Foster
1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
,
Stephen M. McGrath
2   Department of Histopathology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
,
Robert P. Willert
1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
› Author Affiliations
Further Information

Publication History

submitted: 12 May 2014

accepted after revision: 03 June 2014

Publication Date:
01 August 2014 (online)

Preview

Introduction

Primary Intestinal Lymphangiectasia (PIL) is a rare idiopathic congenital disorder characterized by impaired lymphatic drainage and protein-losing enteropathy [1] [2].

PIL normally presents in childhood but can unusually present in adults [2]. We report a case of PIL diagnosed at antegrade double-balloon enteroscopy in a middle-aged man with isolated intermittent ankle edema and hypoalbuminemia.