Anaemia in Waldmann＇s disease： A rare presentation of arare disease

• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Waldmann's disease LYMPHANGIECTASIA GASTROINTESTINAL BLEEDING Iron DEFICIENCY ANEMIA
• 年，卷（期）: 2015,（5）
• 页码范围: 567-572
• 页数: 6页
• 分类号: R

摘要

A 32-year-old female presented with 5-year history ofiron deficiency anemia, marked pallor and edema ofboth lower limbs. Laboratory investigations includingcomplete blood count, blood film, iron studies, lipidprofile, ascitic fluid analysis, test of stool for occult bloodand alpha 1 anti-trypsin. Upper, lower gastrointestinal（GIT） endoscopies, and enteroscopy were performed.Imaging techniques as abdominal ultrasonography andcomputed tomography were done. Echocardiography,lymph node biopsy and bone marrow examinationwere normal. The case was diagnosed as Waldmann＇s disease with protein losing enteropathy and recurrentGIT bleeding. Management started with low fat diet withmedium chain triglyceride, octreotide 200 μg twice a day,tranexamic acid and blood transfusion. Then, exploratorylaparotomy with pathological examination of resectedsegment was done when recurrent GIT bleeding occurredand to excluded malignant transformation.