Three cases
of diffuse involvement of small intestine – the pitfalls of
endoscopic diagnose.
Drábek J.1, Keil R.1, Šťovíček J.1, Hrdlička L.1, Lochmannová J.1, Campr V.2, Kubáčková K.3, Mestický M. 4
1 Gastroenterologie, Interní klinika FN v Motole, Praha, Přednosta: prof. MUDr. Milan Kvapil, CSc. 2 Ústav patologie a molekulární medicíny 2. LF UK v Praze, Přednosta: prof. MUDr. Roman Kodet, CSc. 3 Oddělení radioterapeutické pro dospělé, FN v Motole, Praha, 4 Krajská nemocnice Karlovy Vary |
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Summary:
The syndrome of malabsorption can be caused by numerous
diseases. In case of diffuse involvement of small
bowel the macroscopic finding can be identical in completely
different diseases. In our paper we describe three
cases of diffuse involvement of the small intestine. All
three patients were investigated for diarrhea and weight
loss. Endoscopic finding was nearly identical. There was
finding of edematous mucosa with lymphangiectasias.
Histological investigation proved the Whipple diseases
in the first case, the diffuse form of ring cell carcinoma
in the second case and diffuse form of MALT lymphoma
in the third case.
These three cases demonstrate that the endoscopic finding
can be very similar in completely different diseases.
Close cooperation between the endoscopist and pathologist
is necessary for final diagnose.
Key words:
maloabsorption syndrome, lymphangiectasias,
Whipple disease, ring cell carcinoma, Malt lymphoma
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