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Massive Upper Gastrointestinal Bleeding Caused by Diffuse Large B-Cell Lymphoma.
O Telci Caklili1, H H Mutlu2, Y Colak3
1Kocaeli State Hospital, Internal Medicine, Kocaeli, Turkey.
Case Reports in Gastrointestinal Medicine
|November 16, 2016
Summary
Diffuse large B-cell lymphoma (DLBCL) can cause rare but life-threatening upper gastrointestinal bleeding. This case highlights gastric DLBCL as a critical cause of massive bleeding, requiring urgent medical intervention.
Area of Science:
- Gastroenterology
- Hematology
- Oncology
Background:
- Massive upper gastrointestinal bleeding is a critical medical emergency.
- Hematological malignancies are uncommon causes of upper GI bleeding, typically originating in the duodenum.
Purpose of the Study:
- To present a rare case of gastric diffuse large B-cell lymphoma (DLBCL) causing massive upper gastrointestinal bleeding.
- To emphasize DLBCL as a potential cause of life-threatening GI hemorrhage.
Main Methods:
- Case report of a 77-year-old male presenting with hematemesis and hematochezia.
- Physical examination, vital signs monitoring, blood transfusion, and urgent gastroscopy with biopsy.
- Histopathological analysis of biopsy specimens.
Main Results:
- Patient presented with signs of severe bleeding and hemodynamic instability.
- Gastroscopy revealed a mosaic mucosal pattern and multiple gastric ulcers.
- Biopsy confirmed diffuse large B-cell lymphoma (DLBCL) of the stomach.
Conclusions:
- Gastric DLBCL, though rare, can manifest as massive upper gastrointestinal bleeding.
- Prompt diagnosis and intervention are crucial for managing life-threatening GI hemorrhage caused by gastric lymphoma.
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