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

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Abstract
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.

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