Case Report	Endoscopy 2005; 37: 594-596 DOI: 10.1055/s-2005-861322
© Georg Thieme Verlag KG Stuttgart · New York
Capsule Endoscopy Findings in Celiac Disease Associated Enteropathy-Type Intestinal T-cell Lymphoma
A.  M.  Joyce1, D.  L.  Burns2, P.  W.  Marcello3, B.  Tronic4, F.  J.  Scholz2
1 Gastroenterology Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA 2 Tufts University School of Medicine, Lahey Clinic Medical Center Burlington, Massachusetts, USA 3 Department of Colorectal Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts, USA 4 Department of Pathology, Lahey Clinic Medical Center, Burlington, Massachusetts, USA

Abstract

Capsule endoscopy is a new technology developed to investigate diseases of the small intestine. It has been shown to be superior to current modalities such as small-bowel radiography and enteroscopy. We describe a patient with long-standing celiac disease who presented with abdominal pain, diarrhea, and weight loss, after many years on a gluten-free diet. The symptom complex and results from small-bowel radiography and computerized tomography raised concern about progression to lymphoma, and ultimately a laparoscopy and small-bowel resection were done for diagnosis. A capsule endoscopy was performed to assess the extent of the patient's enteropathy-type intestinal T-cell lymphoma after three cycles of chemotherapy. We report the first use of capsule endoscopy in the setting of celiac disease associated enteropathy-type intestinal T-cell lymphoma. These endoscopic findings are correlated with those from gross and microscopic pathology and barium small-bowel radiography.