Gluten enteropatisinin nadir ve cerrahi ile tanı konan komplikasyonu: Enteropati ilişkili T-hücreli lenfoma

One of the well-known complications of gluten enteropathy in the advanced stage is lymphoma-associated enteropathy. In the treatment of the disease and prevention of lymphoma development, gluten-containing foods must be removed from the diet on a lifelong basis. In the majority of patients, clinical improvement is seen and intestinal mucosal architecture normalizes after a gluten-free diet. Refractory disease is considered in a small number of patients without recovery; underlying jejunoileitis (ulcerative jejunitis) or lymphoma may exist. Accordingly, we want to report our case with gluten enteropathy who initially responded to the diet but later become refractory. In this case, we detected a jejunal mass with double balloon enteroscopy, and enteropathyassociated T-cell lymphoma was diagnosed after surgical excision. This case showed that neoplastic cells may not be defined in biopsies taken under the impact of inflammatory changes, especially in the presence of ulcer and erosions, even though a malignant-looking mass lesion was detected in endoscopic examinations. As in this case, both diagnosis and treatment can be achieved with surgery in patients with strongly suspected malignancy.