CHORUS
Collaborative Hypertext of Radiology
Small bowel
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intestinal lymphangiectasia
- Sxs: diarrhea, hypoproteinemia, edema (peripheral or abdominal),
protein-losing enteropathy
- SB: thickened jejunal folds, spiculation, fuzzy borders
- DDx: other causes of low-protein states ( cirrhosis, nephrosis)
- etiology: obstruction of lymphatics in intestinal wall
- often a/w underdevelopment of thoracic duct
- dx usually made before 5yrs, but occasionally in teens
- treatment: medium-chain triglycerides (MCT)
- prognosis: some recover, some stay on MCT diet, others relapse
Gregory R. Cizek, MD - 6 February 1995
Last updated: 1 October 2013
Copyright © 2013, Charles E. Kahn, Jr.
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