[Diagnosis of a high-grade B-cell lymphoma of the small bowel by means of wireless capsule endoscopy].
Wireless capsule endoscopy is a new diagnostic procedure to detect diseases of the small bowel, in particular in patients with obscure gastrointestinal bleeding. We report on a 76-year-old patient who presented at our hospital with signs of gastrointestinal bleeding and hypochromic anaemia. Bidirectional endoscopy, push enteroscopy, angiography as well as small bowel barium enema rendered no pathologic findings. Wireless capsule endoscopy demonstrated a polypous space in the cantral area of the small bowel. Subsequent intraoperative endoscopy revealed a subtotal stenosing tumour of the upper jejunum which was resected. Based on the histology a high-grade B-Cell lymphoma was diagnosed. The postoperative staging examinations did not indicate any further extranodal involvement.
Hartmann
D
D
Medizinische Klinik C, Gastroenterologie, Hepatologie, Diabetologie, Klinikum der Stadt Ludwigshafen gGmbH, Akademisches Lehrkrankenhaus der Johannes-Gutenberg-Universität Mainz. MedCLu@t-online.de
Schilling
D
D
Rebel
M
M
Zender
F
F
Hahne
M
M
Adamek
H E
HE
Riemann
J F
JF
D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D002214:Capsules; D020776:Endoscopes, Gastrointestinal; D004867:Equipment Design; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000473:pathology; D007417:Intestinal Polyps / Q000175:diagnosis* / Q000473:pathology; D007580:Jejunal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000473:pathology; D008297:Male
D002214:Capsules