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A 57-year-old woman had hypoalbuminemia (3.1 g/dL), which has persisted since immediately after pyloruspreserving pancreatoduodenectomy for lower bile duct cancer 12 years previously. She underwent colonoscopy and a laterally spreading… Click to show full abstract
A 57-year-old woman had hypoalbuminemia (3.1 g/dL), which has persisted since immediately after pyloruspreserving pancreatoduodenectomy for lower bile duct cancer 12 years previously. She underwent colonoscopy and a laterally spreading tumor was found in the cecum (Picture 1). Unexpectedly, immersion into water for underwater endoscopic resection revealed lipid droplets floating on the water (Picture 2), which was something we had not previously recognized without water. White villi were seen in the ileum (Picture 3, 4), suggesting impaired lipid absorption.
Journal Title: Internal Medicine
Year Published: 2022
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