Year 2016 / Volume 108 / Number 3
Case Report
Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

158-162

DOI: 10.17235/reed.2015.3718/2015

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

Abstract
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 utility of capsule endoscopy to allow complete examination of the small bowel disease in which up to 30% of patients may present with normal endoscopy.
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Martínez Sánchez A, Sánchez Ceballos F, Fernández Díez S, Suárez Solís M, Asteinza Daganzo M, Baki W, et all. Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease. 3718/2015


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Publication history

Received: 04/02/2015

Accepted: 09/03/2015

Online First: 15/07/2015

Published: 26/02/2016

Article revision time: 32 days

Article Online First time: 161 days

Article editing time: 387 days


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