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Small Bowel Lymphoma Complicated With Ischemic Colitis: A Case Report.
Pugazhendi Inban1, Carlo Kristian C Carredo2, Faiza Arslan3
1Department of General Medicine, Government Medical College, Omandurar, Chennai, IND.
Cureus
|August 14, 2023
Summary
Ischemic colitis, an injury from reduced blood flow, can be challenging to diagnose. This case highlights a rare association with Epstein-Barr virus B cell lymphoma in an elderly male.
Area of Science:
- Gastroenterology
- Pathology
- Infectious Disease
Background:
- Ischemic colitis results from compromised blood flow to the colon, potentially exacerbated by infections.
- Symptoms range from mild discomfort to severe abdominal distress, complicating diagnosis.
- Typical endoscopic findings include hemorrhagic nodules and segmental mucosal changes.
Observation:
- A case study of an 80-year-old male with hypertension and hyperlipidemia.
- The patient presented with symptoms suggestive of ischemic colitis.
- Diagnosis revealed ischemic colitis associated with Epstein-Barr virus B cell lymphoma.
Findings:
- Epstein-Barr virus (EBV) infection can contribute to reduced colonic blood flow.
- The study presents a rare instance of ischemic colitis linked to EBV B cell lymphoma.
- This association underscores the diverse etiologies of ischemic colitis.
Implications:
- Highlights the importance of considering infectious agents, like EBV, in the differential diagnosis of ischemic colitis.
- Suggests a potential link between EBV B cell lymphoma and colonic ischemia.
- Emphasizes the need for thorough patient evaluation to identify underlying causes of ischemic colitis.

