Successful treatment of protein-losing enteropathy induced by intestinal lymphangiectasia in a liver cirrhosis patient with octreotide: a case report

A 47-yr-old man with hepatitis B virus associated liver cirrhosis was admitted to our hospital with diarrhea and generalized edema and diagnosed as protein-losing enteropathy due to intestinal lymphangiectasia by intestinal biopsy and 99m Tc albumin scan. During hospitalization, he received subcutan...

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Bibliographic Details
Published in:Journal of Korean medical science 2004, 19(3), , pp.466-469
Main Authors: Lee, Hang Lak, Han, Dong Soo, Kim, Jin Bae, Jeon, Yong Chul, Sohn, Joo Hyun, Hahm, Joon Soo
Format: Article
Language:English
Subjects:
Adolescent
Adult
Case Report
Duodenum - pathology
Female
Hepatitis B - complications
Hepatitis B virus - metabolism
Humans
Intestinal Diseases - drug therapy
Intestinal Diseases - virology
Jejunum - pathology
Liver Cirrhosis - drug therapy
Liver Cirrhosis - virology
Lymphangiectasis, Intestinal - drug therapy
Lymphangiectasis, Intestinal - virology
Male
Middle Aged
Octreotide - pharmacology
Protein-Losing Enteropathies - drug therapy
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Summary:A 47-yr-old man with hepatitis B virus associated liver cirrhosis was admitted to our hospital with diarrhea and generalized edema and diagnosed as protein-losing enteropathy due to intestinal lymphangiectasia by intestinal biopsy and 99m Tc albumin scan. During hospitalization, he received subcutaneous octreotide therapy. After 2 weeks of octreotide therapy, follow-up albumin scan showed no albumin leakage, and the serum albumin level was sustained. We speculate that liver cirrhosis can be a cause of intestinal lymphangiectasia and administration of octreotide should be considered for patients with intestinal lymphangiectasia whose clinical and bio-chemical abnormalities do not respond to a low-fat diet.
ISSN:1011-8934
1598-6357
DOI:10.3346/jkms.2004.19.3.466