Obscure gastrointestinal bleeding and video capsule retention due to enteropathy-associated T-cell lymphoma.

Address correspondence to: Dr. Henry C. Ho, Yale University, 333 Cedar Street, 1080 LMP, New Haven, CT 06520-8019; Tel: 203-785-7012; Fax: 203-737-1755; E-mail: [email protected] Small bowel tumors are a rare cause of occult gastrointestinal (GI) bleeding, at times requiring hospitalization and blood transfusion. Capsule endoscopy is a commonly used tool for investigation of occult GI bleeding. The risk of capsule retention is rare and not commonly seen when capsule endoscopy is performed for the diagnostic evaluation of occult GI bleeding. We report a case of enteropathy-associated T-cell lymphoma (EATL) discovered via examination for occult GI bleeding requiring hospitalization and subsequent capsule retention that necessitated urgent surgical management secondary to bowel obstruction.