Journal List > Korean J Pediatr Gastroenterol Nutr > v.2(1) > 1110626

Korean J Pediatr Gastroenterol Nutr. 1999 Mar;2(1):93-98. Korean.
Published online Mar 31, 1999.  https://doi.org/10.5223/kjpgn.1999.2.1.93
Copyright © 1999 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Endoscopic Diagnosis of Primary Intestinal Lymphangiectasia Using a High-fat Meal in a 20-Month-Old Boy
Woo Hyun Kwon, Jin Bok Hwang, Young Hwan Lee and Yong Jin Kim
Department of Pathology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
Department of Diagnostic Radiology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
Department of Pathology, Catholic University of Taegu-Hyosung School of Medicine, Taegu, Korea.
Abstract

We experienced a case of primary intestinal lymphangiectasia in a 20-month-old boy, which was confirmed gastrofiberscopically and histologically only after a high-fat meal before the procedure. A characteristic endoscopic finding was the appearance of tiny white dots scattered in the duodenal mucosa, which were proved dilated lymph vessels in the lamina propria on histological examination. Treatment with low-fat diet and medium chain triglycerides supplementation was satisfactory.

Keywords: High-fat meal; Gastrofiberscopic; Primary intestinal lymphangiectasia