title: Biliary colic heralding systemic relapse in non-Hodgkin lymphoma.
abstract: Though lymphocytic lymphoma often presents as a disseminated disease, involvement of the gallbladder or biliary tree in the absence of jaundice is very uncommon [1]. A patient with poorly differentiated lymphoma in complete clinical remission after combination chematherapy experienced repeated episodes of biliary colic; at laparotomy her right-upper-quadrant pain was found to be due to lymphomatous involvement at the common bile duct. Recurrence in nodes surrounding the biliary tree heralded by several months the onset of a systemic relapse which did not respond to further cytotoxic therapy.
mesh_terms: D000328:Adult; D002758:Cholangiography; D003085:Colic / Q000209:etiology*; D003135:Common Bile Duct / Q000473:pathology; D003138:Common Bile Duct Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000473:pathology; D012008:Recurrence