Duodenal Lymphangiectasia: Report of Two Cases

十二指腸淋巴管擴張症：兩病例報告

蔡東隆(Tung-Lung Tsai) ； 張簡吉幸(Chi-Sin Changchien) ； 董宏達(Hung-Da Tung) ； 邢福柳(Hock-Liew Eng)

《臺灣消化醫學雜誌》 20卷4期 (2003/12) Pp. 259-263

https://doi.org/10.6557/GJT.200312_20(4).0004

摘要

小腸淋巴管擴張症是一種罕見的疾病，亦是蛋白質由腸道流失疾病之病因之一，小腸淋巴管擴張症之內視鏡所見非常有其特徵，主要為白色點狀物在小腸黏膜或在隆起之小腸黏膜上，在此報告兩例無症狀十二指腸淋巴管擴張症之病例，討論其他不同的十二指腸病灶與十二指腸淋巴管擴張症之鑑別診斷，並討論小腸淋巴管擴張症之內視鏡與病理所見，以及小腸淋巴管擴張症之不同種類。

關鍵字

淋巴管擴張症 ； 十二指腸

並列摘要

Intestinal lymphangiectasia is a rare disease. The primary intestinal lymphangiectasia is idiopathic and associated clinically with malabsorption and excessive protein loss in the digestive tract. The intestinal lymphangiectasia has characteristic endoscopic features, such as white-tipped villi of the intestine. We report two cases of duodenal lymphangiectasia who had no clinical symptom of intestinal malabsorption. We discuss the differential diagnosis of other duodenal lesions from lymphangiectasia, and review the features of endoscopy, pathology, and the different types of intestinal lymphangiectasia.

並列關鍵字

lymphangiectasia ； duodenum