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Korean J Helicobacter  Up Gastrointest Res > Volume 11(3); 2011 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2011;11(3):205-208.
DOI: https://doi.org/10.7704/kjhugr.2011.11.3.205    Published online December 10, 2011.
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
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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