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Published on: March 30, 2018
Child With Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
Khalid A Alghamdi1, Alaa M Bokhari1, Imad A El Hag2
1From the Pediatric Department, Security Forces Hospital, Riyadh, Saudi Arabia.
Insights
Helicobacter pylori infection can lead to gastric lymphoma, even in children. Upper gastroscopy is crucial for diagnosing this serious condition in young patients with nonspecific symptoms.
Area of Science:
- Pediatric Gastroenterology
- Oncology
- Infectious Diseases
Background:
- Nonspecific gastrointestinal symptoms are common in children with Helicobacter pylori infection.
- Current guidelines recommend upper gastroscopy for diagnosing the cause of these symptoms.
Observation:
- A 9-year-old girl presented with symptoms attributed to H. pylori infection.
- Upper gastroscopy revealed gastric mucosa-associated lymphoid tissue (MALT) lymphoma.
Findings:
- The patient was diagnosed with gastric MALT lymphoma, a rare condition in pediatric cases.
- The lymphoma was directly associated with H. pylori infection.
Implications:
- This case underscores the importance of upper gastrointestinal endoscopy in evaluating pediatric H. pylori infections.
- Early diagnosis of H. pylori-associated gastric MALT lymphoma in children is critical for timely intervention.
Abstract:
Many patients present to our clinic with Helicobacter pylori (H. pylori) infection. Most have nonspecific symptoms that cannot be immediately attributed to H. pylori. The joint European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN)/North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) guidelines recommend upper gastroscopy to detect the cause of such symptoms. Herein, we present the case of a 9-year-old girl diagnosed with gastric mucosa-associated lymphoid tissue lymphoma associated with H. pylori infection using upper gastroscopy. We believe that a patient of such a young age with this serious condition secondary to H. pylori will highlight the importance of upper gastrointestinal endoscopy in such cases.
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