A primary intestinal lymphangiectasia patient diagnosed by capsule endoscopy and confirmed at surgery: A case report  

作　　者：You-Hong Fang Bing-Ling Zhang Jia-Guo Wu Chun-Xiao Chen 

机构地区：[1]The First Affiliated Hospital of College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China [2]Sir Run Run Shaw hospital of College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China

出　　处：《World Journal of Gastroenterology》2007年第15期2263-2265,共3页世界胃肠病学杂志（英文版）

摘　　要：Intestinal lymphangiectasia （IL） is a rare disease characterized by dilated lymphatic vessles in the intestinal wall and small bowel mesentery which induce loss of protein and lymphocytes into bowel lumen. Because it most often occurs in the intestine and cannot be detected by upper gastroendoscopy or colonoscopy, and the value of common image examinations such as X-ray and computerized tomography （CT） are limited, the diagnosis of IL is difficult, usually needing the help of surgery. Capsule endoscopy is useful in diagnosing intestinal diseases, such as IL. We here report a case of IL in a female patient who was admitted for the complaint of recurrent edema accompanied with diarrhea and abdominal pain over the last twenty years, and aggravated ten days ago. She was diagnosed by M2A capsule endoscopy as a primary IL and confirmed by surgical and pathological examination.肠的 lymphangiectasia (IL ) 是扩大淋巴的 vessles 在肠的墙和导致蛋白质和淋巴细胞的损失进肠腔的小肠肠系膜中描绘的稀罕疾病。因为它最经常发生在肠并且不能被上面的胃的内视镜检查法或结肠镜检查检测，并且象 X 光检查和计算机化的断层摄影术(CT ) 那样的普通图象考试的值被限制 IL 的诊断是困难的，通常需要外科的帮助。囊内视镜检查法在诊断肠的疾病是有用的，例如 IL。我们这里在为在最后二十年伴有腹泻和腹的疼痛，并且十天以前加重了的周期性的浮肿的抱怨被招收的一个女病人报导 IL 的一个案例。她被 M2A 囊内视镜检查法作为主要 IL 诊断并且由外科、病理学的检查证实了。

关 键 词：Intestinal lymphangiectasia Capsule endoscopy HYPOPROTEINEMIA LYMPHOCYTOPENIA EDEMA SURGERY 

分 类 号：R551.2[医药卫生—血液循环系统疾病]