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Massive Intestinal Albumin Loss after Fontan Operation
Author(s) -
Sano Tetsuya,
Tajiri Hitoshi,
Nakajima Toru,
Matsushita Tohru,
Kayatani Futoshi,
Kanayalda Shinobu,
Ozaki Yoshikazu,
Nose Osamu,
Okada Shintaro
Publication year - 1991
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1991.tb01571.x
Subject(s) - medicine , protein losing enteropathy , enteropathy , albumin , scintigraphy , small intestine , gastroenterology , serum albumin , atresia , hypoproteinemia , cardiology , disease
Massive intestinal protein loss was demonstrated and the site of loss determined by abdominal scintigraphy with 99m Tc‐labeled human serum albumin in a 9‐year‐old girl following the Fontan operation for pulmonary atresia with intact ventricular septum. Significant activity accumulating in the lower small intestine and moving with its contents into the colon were shown. Her condition may have resulted from intestinal lymphangiectasia, caused by increased central venous pressure. Abdominal scintigraphy with 99m Tc‐human serum albumin is useful in the diagnosis of protein‐losing enteropathy.