Jejunal Perforation Caused by Primary Jejunal Diffuse Large B Cell Lymphoma |
Seung Hyun Oh, Hye Seon Kang, Eun Ok Kim, Byung Soo Jie, Hwa Jeong Lee, Youn Mi Song, Jin Seok Kim, Jung Hwan Oh |
Department of Internal Medicine, St. Paul's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. ojh@catholic.ac.kr |
빠른 성장을 보인 미만성 B형 대세포 림프종에 의한 공장 천공 1예 |
오승현, 강혜선, 김은옥, 지병수, 이화정, 송윤미, 김진석, 오정환 |
가톨릭대학교 의과대학 성바오로병원 내과학교실 |
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Abstract |
Small bowel malignancy accounts for approximately 2% of gastrointestinal malignancies. In particular, malignant lymphoma of the small intestine is so rare that it accounts for less than 1% of gastrointestinal malignancies. Initial symptoms are non-specific and diagnosis may be delayed until the patient presents with complications such as intestinal obstruction, hemorrhage, or perforation. A 79-year-old man visited the emergency room with lower abdominal pain. Segmental resection of the small intestine was done and surgery revealed a 9.5x6 cm sized mass with jejunal perforation at 20 cm inferior to the ligament of Treitz. The mass was diagnosed as diffuse large B cell lymphoma. We experienced a case of diffuse large B cell lymphoma which was diagnosed after emergent surgery for jejunal perforation, and report it with a review of literature. |
Key Words:
Lymphoma; Intestinal perforation; Jejunum |
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