Computed tomography after lymphangiography in the diagnosis of intestinal lymphangiectasia with protein-losing enteropathy in Noonan's syndrome

Eur Radiol. 2000;10(10):1591-3. doi: 10.1007/s003300000384.

Abstract

Noonan's syndrome is a rare congenital disorder that may be associated with abnormalities in the lymphatic drainage. In this case of a 21-year-old man CT after bipedal lymphangiography confirmed the diagnosis of intestinal lymphangiectasy causing protein-losing enteropathy in Noonan's syndrome by showing contrast-enhanced abnormal lymphatic vessels in the mesentery and the intestinal wall. Because of the benefit of diet in case of intestinal involvement, we recommend a thorough documentation of the lymphatic drainage with lymphangiography followed by CT, if clinical signs of lymphatic dysplasia, such as pleural effusions, lymphedema, or hypoproteinemia are present.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Humans
  • Lymphangiectasis, Intestinal / complications
  • Lymphangiectasis, Intestinal / diagnostic imaging*
  • Lymphography
  • Male
  • Noonan Syndrome / complications*
  • Noonan Syndrome / diagnostic imaging
  • Protein-Losing Enteropathies / diagnostic imaging*
  • Protein-Losing Enteropathies / etiology
  • Tomography, X-Ray Computed*