Herfarth, Hans and Hofstaedter, Ferdinand and Feuerbach, Stefan and Schlitt, Hans Juergen and Schoelmerich, Juergen and Rogler, Gerhard (2007) A case of recurrent gastrointestinal bleeding and protein-losing gastroenteropathy. NATURE CLINICAL PRACTICE GASTROENTEROLOGY & HEPATOLOGY, 4 (5). pp. 288-293. ISSN 1743-4378,
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Background A 40-year-old male with pentalogy of Fallot ( a congenital heart defect with five anatomical components) presented with recurrent gastrointestinal bleeding. He had recently recovered from a heart operation, which was performed to reconstruct the right ventricular outflow tract. Investigations Laboratory tests and absorption tests, esophagogastroduodenoscopy, capsule endoscopy, human serum albumin scintigraphy, lymphoscintigraphy, CT and abdominal lymph-node histology. Diagnosis Intestinal lymphangiectasia with concurrent protein-losing gastroenteropathy and recurrent gastrointestinal bleeding. Management Despite a low-fat diet and surgical suturing of multiple small-bowel ulcerations the gastrointestinal bleeding continued. Serum albumin levels remained very low and severe lymphedema occurred. Unfortunately, the patient developed severe sepsis and died of multiple organ failure.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HUMAN SERUM-ALBUMIN; INTESTINAL LYMPHANGIECTASIA; CONSTRICTIVE PERICARDITIS; ENTEROPATHY; Hennekam syndrome; hypogammaglobulinemia; lymphangiectasia; protein-losing gastroenteropathy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Pathologie Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2020 07:35 |
| Last Modified: | 14 Dec 2020 07:35 |
| URI: | https://pred.uni-regensburg.de/id/eprint/32845 |
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