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Published on: March 5, 2016
[A Case of Intestinal Lymphoma with Two Perforation in a Short Period Time]
Tomoki Fukuoka1, Akihiro Suzuki, Hiroaki Uda
1Dept. of Surgery, Nagoya Memorial Hospital.
This case study highlights a rare instance of small intestinal lymphoma causing two separate jejunum perforations in an elderly patient within a short timeframe, despite initial successful treatment.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Oncology
Background:
- Small intestinal lymphoma can present with serious complications such as gastrointestinal perforation.
- Early diagnosis and prompt surgical intervention are crucial for managing intestinal perforations.
Observation:
- An 86-year-old male with anemia was diagnosed with a jejunum tumor, later confirmed as small intestinal lymphoma after perforation and resection.
- The patient experienced a second, distinct jejunum perforation shortly after initiating chemotherapy, necessitating further surgical intervention.
Findings:
- The patient presented with two separate jejunum perforations attributed to small intestinal lymphoma over a short period.
- Postoperative chemotherapy led to successful disease management after the second perforation.
Implications:
- This case underscores the potential for heterochronous, multifocal intestinal perforations in small intestinal lymphoma.
- Highlights the importance of vigilant monitoring for recurrent or new perforations during lymphoma treatment.
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