Malignant lymphoma originating in the jejunum of a long-term follow-up case of protein-losing enteropathy.
A 50-year-old female patient, who had been followed for 15 years for protein-losing enteropathy, was hospitalized due to epigastric pain. Examination on admission revealed that the patient was in the sub-ileus state. On the 26th day after admission, she complained of severe abdominal pain and shortly after she went into shock. The emergency laparotomy documented intestinal perforation and a tumor. The perforated site was right at the middle of tumor. The histological and histochemical studies identified the tumor as malignant lymphoma of B lymphocyte lineage. As far as we know, this is the third case of malignant lymphoma occurring in the jejunum in a patient with protein-losing enteropathy in Japan. The possible relationship between lymphomas and protein-losing enteropathy is discussed.
Nishiuchi
M
M
Department of Internal Medicine, Hyogo Prefectural Nishinomiya Hospital.
Iida
M
M
Saika
Y
Y
Kuwasako
T
T
Seki
K
K
Shinji
Y
Y
Ukai
I
I
Shugino
T
T
Kohro
T
T
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D007580:Jejunal Neoplasms / Q000473:pathology* / Q000601:surgery; D016393:Lymphoma, B-Cell / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D011504:Protein-Losing Enteropathies / Q000473:pathology* / Q000601:surgery