Open Access
Endoscopy 2014; 02(04): E262-E264
DOI: 10.1055/s-0034-1377382
Case report
© Georg Thieme Verlag KG Stuttgart · New York

An unusual cause of ankle swelling

Authors

  • Rhys O. Butcher

    1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
  • Laura Kinsey

    1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
  • Hui Y. Lee

    1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
  • Lucy Foster

    1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
  • Stephen M. McGrath

    2   Department of Histopathology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
  • Robert P. Willert

    1   Department of Gastroenterology, Central Manchester University Hospitals, Manchester Royal Infirmary, Manchester, United Kingdom
Further Information

Publication History

submitted: 12 May 2014

accepted after revision: 03 June 2014

Publication Date:
01 August 2014 (online)

Preview

Introduction

Primary Intestinal Lymphangiectasia (PIL) is a rare idiopathic congenital disorder characterized by impaired lymphatic drainage and protein-losing enteropathy [1] [2].

PIL normally presents in childhood but can unusually present in adults [2]. We report a case of PIL diagnosed at antegrade double-balloon enteroscopy in a middle-aged man with isolated intermittent ankle edema and hypoalbuminemia.