Atypical diagnosis by endoscopic capsule: Whipple's disease


Autoria(s): Martínez-Sánchez,Alba; Sánchez-Ceballos,Francisco L.; Fernández-Díez,Servando; Suárez-Solís,María Luisa; Asteinza-Daganzo,Matilde; Baki,Walid; Esteban,José Miguel; Rey-Díaz-Rubio,Enrique
Data(s)

01/03/2016

Resumo

Whipple's disease is a chronic systemic infection produced by the actinomycete Tropheryma whipplei. Endoscopic tests are key in the diagnosis as they allow biopsy and histopathological examination for definitive diagnosis of this entity. We present a case of Whipple's disease where capsule endoscopy, uncommon for the diagnosis of this condition, was essential for it and its performance before and after antibiotic treatment allows to describe the macroscopic evolution of the findings in the small bowel. This case illustrates the usefulness of capsule endoscopy to allow complete examination of the small bowel disease in which up to 30% of patients may present with normal endoscopy.

Formato

text/html

Identificador

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082016003300110

Idioma(s)

en

Publicador

Sociedad Española de Patología Digestiva

Fonte

Revista Española de Enfermedades Digestivas v.108 n.3 2016

Palavras-Chave #Whipple's disease #Capsule endoscopy
Tipo

journal article