title: Capsule endoscopy: a dangerous but diagnostic tool.
abstract: Current guidelines advocate the use of capsule endoscopy (CE) when gastroscopy and colonoscopy have failed to demonstrate the origin of occult gastrointestinal bleeding. CE has been used successfully in the diagnosis of a variety of conditions such as coeliac disease, polyposis syndromes and small bowel tumours, when routine investigations have failed to yield a diagnosis. In conditions where the diameter of the bowel lumen may be compromised, such as Crohn's disease, CE is contraindicated because of the risk of retention and/or small bowel obstruction. Here we present an unusual case where CE resulted in small bowel obstruction and perforation in a segment of small bowel which had become inflamed secondary to a carcinoid tumour.
authors.affiliation: Eastbourne District General Hospital, Eastbourne, East Sussex, UK.
authors.forename: Rhatica
authors.initials: R
authors.lastname: Srai
authors.forename: Lucinda
authors.initials: L
authors.lastname: Tullie
authors.forename: Ashar
authors.initials: A
authors.lastname: Wadoodi
authors.forename: Michael
authors.initials: M
authors.lastname: Saunders
mesh_terms: D000368:Aged; D053704:Capsule Endoscopy / Q000009:adverse effects*; D002276:Carcinoid Tumor / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007414:Intestinal Neoplasms / Q000150:complications* / Q000175:diagnosis; D007415:Intestinal Obstruction / Q000209:etiology*; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008303:Malignant Carcinoid Syndrome / Q000150:complications* / Q000175:diagnosis
references.citation: AJR Am J Roentgenol. 2004 Mar;182(3):559-67
references.pmid: 14975946
references.citation: Abdom Imaging. 2008 Sep-Oct;33(5):579-81
references.pmid: 18180984
references.citation: Nature. 2000 May 25;405(6785):417
references.pmid: 10839527
references.citation: Cases J. 2009 Jul 31;2:7607
references.pmid: 19830002
references.citation: Curr Opin Gastroenterol. 2010 Mar;26(2):129-33
references.pmid: 20145540
references.citation: J Exp Clin Cancer Res. 1999 Jun;18(2):133-41
references.pmid: 10464698
references.citation: Gastrointest Endosc. 2010 Feb;71(2):280-6
references.pmid: 20152309
references.citation: J Clin Gastroenterol. 2008 Jul;42(6):761-2
references.pmid: 18496382
references.citation: Endoscopy. 2005 Feb;37(2):174-7
references.pmid: 15692935
references.citation: Int Surg. 2009 Jul-Sep;94(3):254-7
references.pmid: 20187521
references.citation: J Clin Gastroenterol. 2006 Sep;40(8):688-91
references.pmid: 16940879
references.citation: Eur J Gastroenterol Hepatol. 2010 Nov;22(11):1380-6
references.pmid: 20173646
references.citation: West J Emerg Med. 2010 Feb;11(1):71-3
references.pmid: 20411080
references.citation: Gut. 2008 Jan;57(1):125-36
references.pmid: 18094205