Jejunal Perforation: A Rare Presentation of Extra Nodal Follicular Lymphoma in Patientwith Hepatitis B
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
The non-traumatic perforations of the small intestine are pathological entities.The primary sources of the perforation might be foreign bodies, inflammatory diseases, tumors, infectious diseases, etc. In most cases intestinal perforation is discovered only by laparotomy and the definitive diagnosis is made only after histopathologic examination. Small bowel malignancies are rare; among them, lymphomas rank third in frequency, being mostly Bcell non Hodgkin lymphomas.Primary non-Hodgkin's lymphoma of the small bowel with hepatitis B presenting as a perforated viscus entity with peritonitis is extremely rare. A 58 year old man presented with pain abdomen and distension. An emergency laparotomy revealed a perforation in jejunum with enlarged mesenteric lymph nodes and mesenteric thickening which required segmental resection and anastomosis. Histopathological examination of the resected segment of jejunum revealed extranodal follicular lymphoma of small intestine. The nonspecific clinical manifestations of intestinal lymphomas make from diagnosis a difficult procedure. Lymphoma of the small intestine has been reported to have a poor prognosis. Early diagnosis and treatment are important to improve the prognosis of bowel perforation in patients with non-Hodgkin's lymphoma. This case illustrates a rare complication of follicular lymphoma of (large B-cell non-Hodgkin’s lymphoma) the jejunum associated with hepatitis B that was responsible for small-bowel perforation and following peritonitis.
Authors and Affiliations
Mahendra Lodha, Banwarilal Bairwa, Satyaprakash Meena, Ashok Puranik, Hitesh Bhulchandani, Ratan Raj
Keywords
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- EP ID EP238800
- DOI 10.9790/0853-1611065659
- Views 116
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