Primary Gastro Intestinal Lymphoma Presenting as Perforation Peritonitis
Suhaib Abdul Rehaman1, Chandrashekar Shastry Ramachandra2, Reuben Prakash Jackaya3
1General and Laparoscopic Surgeon, Department of Surgery, National Hospital , Calicut, India .
Summary
Primary gastrointestinal lymphoma, though rare, can present as a perforation. This case highlights the importance of evaluating jejunal perforations for lymphoma, even without other lymphadenopathy, for timely treatment.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Primary gastrointestinal lymphoma is rare, often presenting non-specifically.
- It most commonly affects the stomach, small intestine, and ileocecal region.
- Distinguishing it from other conditions is clinically challenging.
Observation:
- A patient presented with peritonitis due to a perforated jejunal swelling.
- Surgical resection and anastomosis were performed.
- Biopsy confirmed lymphoma, with no other lymphadenopathy found on imaging.
Findings:
- The patient's condition improved with chemotherapy.
- While perforation is common in treated lymphoma patients, primary gastrointestinal lymphoma presenting as perforation is infrequent.
- This case underscores the diagnostic challenge.
Implications:
- Early and accurate diagnosis of primary gastrointestinal lymphoma is crucial.
- Jejunal perforations warrant thorough investigation for lymphoma.
- Prompt management improves patient outcomes in rare gastrointestinal lymphoma cases.
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