Overlap of lymphatic dysplasia in Fontan-associated protein-losing enteropathy and Mucosa-Associated Lymphoid Tissue (MALT lymphoma): implications for management of protein-losing enteropathy

Cardiol Young. 2020 Dec;30(12):1973-1975. doi: 10.1017/S1047951120003182. Epub 2020 Oct 5.

Abstract

Lymphatic vessel dysplasia is associated with Fontan-associated protein-losing enteropathy. Extra nodal non-Hodgkin lymphomas including mucosa-associated lymphoid tissue (MALT lymphoma) are associated with lymphatic vessel dysplasia. Here, we describe the case of a 7-year-old with Fontan-associated protein-losing enteropathy who developed MALT lymphoma with a clinical course indicative of interaction between these pathologies and improvement in protein-losing enteropathy after MALT lymphoma treatment. This case suggests a pathophysiologic overlap which has implications for the management of Fontan-associated protein-losing enteropathy.

Keywords: MALT lymphoma; cavopulmonary anastomosis; intestinal lymphangiectasia; protein-losing enteropathy.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Fontan Procedure* / adverse effects
  • Humans
  • Lymphatic Vessels*
  • Lymphoid Tissue
  • Lymphoma, B-Cell, Marginal Zone* / complications
  • Lymphoma, B-Cell, Marginal Zone* / diagnosis
  • Lymphoma, B-Cell, Marginal Zone* / surgery
  • Mucous Membrane
  • Protein-Losing Enteropathies* / diagnosis
  • Protein-Losing Enteropathies* / etiology
  • Protein-Losing Enteropathies* / therapy