PMC3290019_01
a The first duodenoscopy after referral to our center did not show any macroscopic alterations. Biopsies showed partial villous atrophy (Marsh 3a) and the diagnosis of celiac disease was set. b, c After 6 months abdominal pain developed again. A single balloon enteroscopy showed a large tumorous mass at the junction of the duodenum and the jejunum in which no further normal mucosa of the small intestine was recognized.
crg-0006-0020-g01.jpg
PMC3290019_01_crg-0006-0020-g01.jpg
F1
A new duodenoscopy was performed (fig. 1a). A video capsule followed by a single balloon enteroscopy revealed a large process at the duodenal-jejunal junction (fig. 1b, c).