Perforated primary intestinal lymphoma: Case report
Tugay Tartar1
, Mehmet Yusuf Sarı2, Adile Ferda Daglı3, Mehmet Saraç1, Ünal Bakal1, Ahmet Kazez1
1Fırat Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Ana Bilim Dalı, Elazığ, Türkiye
2Fırat Üniversitesi Tıp Fakültesi, Çocuk Yoğun Bakım Bilim Dalı, Elazığ, Türkiye
3Fırat Üniversitesi Tıp Fakültesi, Tıbbi Patoloji Ana Bilim Dalı, Elazığ, Türkiye
Keywords: Intestinal lymphoma, perforation, surgery, child
Abstract
Primary gastrointestinal system (PGIS) lymphomas are rare. It is very difficult to diagnose PGIS lymphoma preoperatively.
A 3-year-old male patient with an intraabdominal mass was presented in this study. Lymphoma was considered as the preliminary diagnosis. Fine-needle biopsy was performed, and pathological examination of the biopsy specimen showed CD20 (+) aggressive B-cell lymphoma. Intestinal perforation developed on the third day of chemotherapy, and emergency laparotomy was performed. Colon resection from the terminal ileum to the splenic flexura was performed and an ileostomy was opened. Histopathological examination revealed high-grade B-cell lymphoproliferative disease. The patient died on the 6th postoperative day.
In conclusion, although rarely seen, PGIS lymphoma should be kept in mind when diagnosing patients who present with GIS symptoms.
Atıf vermek için: Tartar T, Sarı MY, Daglı AF, Saraç M, Bakal Ü, Kazez A. Perfore primer intestinal lenfoma: Olgu sunumu. Çoc. Cer. Derg. 2020;34(1):34-7.