Ne-Hodgkinov limfom otkriven retiniranom endokapsulom u stenoziranome tankom crijevu – prikaz bolesnice

Goran Augustin, Sara Haberle, Željko Jelinčić

Endokapsula, endoskopska metoda odobrena 2001. godine, upotrebljava se za evaluaciju sluznice i unutrašnjosti tankog crijeva. Posebno je važna pri patologiji tankog crijeva nedohvatljivoj dijagnostikom poput enteroskopije i ileokolonoskopije, koje su i dalje zlatni standard. Glavna komplikacija endokapsule jest njezina retencija, koja se javlja u stanjima što opstruiraju lumen crijeva poput upalnih bolesti crijeva, polipoznih sindroma i tumora crijeva. Prikazujemo 59-godišnju bolesnicu koja je zbog nespecifičnih simptoma i sumnje na upalnu bolest crijeva podvrgnuta metodi endokapsule što je zaostala u tankom crijevu i poslije eksplorirana invazivnom kirurškom tehnikom. Dijagnostička metoda poput magnetske enterografije izbjegla bi komplikaciju koju stvara endokapsula i dovela do ranijeg prepoznavanja teških bolesti što zahvaćaju tanko crijevo.

Capsule endoscopy is an endoscopic method that was approved in 2001 and isused for the evaluation of mucous membranes in the small intestine. It is of special significance in cases of small intestinal pathologies that cannot be sufficiently diagnosed by the current gold standards, enteroscopy and ileocolonoscopy. One major complication of capsule endoscopy is the retention of the device, which occurs in conditions that obstruct the lumen of the intestines such as inflammatory bowel disease, polyps or neoplasms. A 59-year-old patient who presented with nonspecific abdominal symptoms and a suspicion of inflammatory bowel disease received a capsule endoscopy which later became stuck due to an obstruction and had to be retrieved through invasive surgical methods. Magnetic enterography is a diagnostic method that avoids the inconvenient complications exhibited by capsule endoscopy and can more effectively diagnose various pathologies in the small intestine.