A CASE OF DUODENAL LYMPHANGIECTASIA IN A PATIENT WITH PORTAL THROMBOSIS

Abstract

A 65 year-old-man with portal thrombosis was admitted to our hospital because of general fatigue and iron deciciency anemia. He had a past history of Miles operation at the age of 60. On admission, he presented with massive ascites, splenomegaly, and esophageal varices. Endoscopic examination revealed multiple elevated lesions in the duodenum Endoscopic findings of these lesions were unusal and microscopic findings of biopsied sample of the duodenum revealed lymphangiectasia. In review of 18 Japanese articles on duodenal lymphangiectasia, we noted that these lesions may cause increased pressure in the lymphatic duct due to portal hypertension.