Case # 4 Double balloon enteroscopy performed for tissue sampling Diagnosis: Small bowel diffuse large B-cell lymphoma Patient underwent CHOP chemotherapy with a good clinical response, dying of an unrelated cause 3 yrs after his diagnosis of lymphoma.
Case # 4 Diffuse large B cell lymphoma of the small bowel is an uncommon neoplasm. In contrast to gastric lymphoma, small bowel B cell lymphomas do not appear to be associated with H pylori. Capsule endoscopy has proven useful for diagnosis of obscure causes of gastrointestinal illness. In this case, making the diagnosis of a mass lesion that was not found using other methods.