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Dtsch. Med. Wochenschr. · Jun 2004
Case Reports[Lymphangioleiomyomatosis (LAM): a rare cause of ascites and pleural effusion].
- A R Schneider, V Jacobi, H J Achenbach, and W F Caspary.
- Medizinische Klinik II, Klinikum der Johann Wolfgang-Goethe-Universität, Frankfurt am Main. arne.schneider@em.uni-frankfurt.de
- Dtsch. Med. Wochenschr. 2004 Jun 11; 129 (24): 1375-8.
History And Clinical FindingsA 45 year old woman presented at our hospital for further evaluation of intermittent abdominal pain. The patient reported that she had suffered a spontaneous pneumothorax 8 years and a pleural effusion 3 years before.Diagnostic Findings And TherapyAbdominal ultrasound showed abdominal fluid which proved to be chylous ascites by diagnostic paracentesis. Radiologic (lymphangiography) findings were consistent with lymphangioleiomyomatosis (LAM). Remarkably, lymphangiography resulted in an immediate disappearance of the ascitic fluid.ConclusionThis report depicts a case of LAM which involved both pulmonary and intestinal symptoms. Previous pulmonary problems gave a hint towards the right diagnosis. Though lymphangiography is rarely performed in these days, the method was both diagnostic and therapeutic in the case presented.
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