1 / 10

Capsule Endoscopy: Clinical Case Vignettes

Capsule Endoscopy: Clinical Case Vignettes . David J. Hass, MD Assistant Clinical Professor of Medicine Yale University School of Medicine Gastroenterology Center of Connecticut, P.C. Case # 4. 72 year-old male Profuse diarrhea and night sweats 25 pound weight loss over six months.

tyne
Télécharger la présentation

Capsule Endoscopy: Clinical Case Vignettes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Capsule Endoscopy:Clinical Case Vignettes David J. Hass, MD Assistant Clinical Professor of Medicine Yale University School of Medicine Gastroenterology Center of Connecticut, P.C.

  2. Case # 4 • 72 year-old male • Profuse diarrhea and night sweats • 25 pound weight loss over six months

  3. Case # 4 • Slightly cachectic • Physical exam otherwise unremarkable

  4. Case # 4 • WBC 18,000 with a slight lymphocytic predominance • Normal chemistries • ESR 120 • Negative celiac serologies • Normal IgA level, normal chromogranin A level • Negative stool studies

  5. Case # 4 • Negative EGD • Negative Colonoscopy • CT scan – borderline enlarged lymphadenopathy • Normal gallium scan • Normal small bowel series • A capsule endoscopy was performed….

  6. Click to play video

  7. Case # 4 • Double balloon enteroscopy performed for tissue sampling • Diagnosis: Small bowel diffuse large B-cell lymphoma • Patient underwent CHOP chemotherapy with a good clinical response, dying of an unrelated cause 3 yrs after his diagnosis of lymphoma.

  8. Case # 4 • Diffuse large B cell lymphoma of the small bowel is an uncommon neoplasm. In contrast to gastric lymphoma, small bowel B cell lymphomas do not appear to be associated with H pylori. • Capsule endoscopy has proven useful for diagnosis of obscure causes of gastrointestinal illness. In this case, making the diagnosis of a mass lesion that was not found using other methods.

More Related