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Endoscopy 1986; 18(3): 108-110
DOI: 10.1055/s-2007-1018344
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Diagnosis of Primary Intestinal Lymphangiectasia Using a High-fat Meal

S.J.O. Veldhuyzen van Zanten, J.F.W.M. Bartelsman, G.N.J. Tytgat
  • University of Amsterdam, Academic Medical Center, Departments of Gastroenterology and Internal Medicine, Amsterdam, The Netherlands
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Publication Date:
17 March 2008 (online)

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Summary

The case of a 17-year-old woman is described, in whom a suspected diagnosis of primary intestinal lymphangiectasia was confirmed endoscopically and histologically only after a high-fat meal had been given the night before the procedure. A characteristic endoscopic finding was the appearance of tiny white dots scattered in the duodenum and jejunum, which on histological examination proved to be dilated lymph vessels. Treatment with low-fat diet and MCT-supplementation was successful.

Key words:

High-fat meal