Abstract
Patients with celiac sprue carry a considerable risk of gastrointestinal malignancies; in particular, non-Hodgkin’s lymphoma. These malignancies represent the most serious complications of celiac disease. Commonly, patients present with deteriorating symptoms of the underlying disease, which makes an early diagnosis difficult. We report a patient with a 13-year history of celiac sprue presenting with painless jaundice and a Courvoisier gallbladder. Abdominal computed tomography (CT) scan showed thickening of the duodenal wall, suggesting a neoplastic infiltration of the papilla of Vater, causing biliary obstruction. Biopsies taken on endoscopy revealed enteropathy-associated T-cell lymphoma of the duodenum. Biliary obstruction is a rare clinical finding in enteropathy-associated T-cell lymphoma. To our knowledge, this is the first reported case of this unusual manifestation in celiac disease.
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Buess, M., Steuerwald, M., Wegmann, W. et al. Obstructive jaundice caused by enteropathy-associated T-cell lymphoma in a patient with celiac sprue. J Gastroenterol 39, 1110–1113 (2004). https://doi.org/10.1007/s00535-004-1453-3
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DOI: https://doi.org/10.1007/s00535-004-1453-3