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Published on: September 1, 2023
Abdominal complaints: diverticular disease
1Hematology and Oncology Associates, Dayton, Ohio, USA. joycemrn@sbcglobal.net
Clinical Journal of Oncology Nursing
|May 20, 2006
Summary
A patient with a history of follicular lymphoma presented with abdominal pain, initially concerning for disease recurrence. Evaluation revealed mild diverticulosis, suggesting diverticular disease as the likely cause of symptoms.
Area of Science:
- Gastroenterology
- Oncology
Background:
- A patient with a history of follicular large cell lymphoma presented with intermittent abdominal pain.
- The patient feared lymphoma recurrence, especially given prior history and treatment.
Purpose of the Study:
- To evaluate the cause of new-onset abdominal pain in a patient with a history of lymphoma.
- To differentiate between lymphoma recurrence and other gastrointestinal conditions.
Main Methods:
- Clinical presentation review, including patient history and symptoms.
- Review of prior imaging (computed tomography scan) and physical examination findings.
- Diagnostic consideration of diverticular disease based on imaging findings.
Main Results:
- Computed tomography scan five months prior was negative for lymphadenopathy.
- A previously enlarged inguinal node had resolved.
- Mild diverticulosis was noted in the sigmoid colon.
Conclusions:
- The patient's abdominal pain was attributed to mild diverticulosis.
- Lymphoma recurrence was considered unlikely given the absence of lymphadenopathy and resolution of prior nodal enlargement.
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