[A case of enteropathy-associated T-cell lymphoma presenting with recurrent hematochezia].
Enteropathy-associated T-cell lymphoma (EATL) is an unusual primary gastrointestinal lymphoma, particularly associated with celiac sprue. This tumor usually affects the jejunum and grossly presents as multiple circumferential ulcers without the formation of definite tumor masses. Moreover, mesenteric lymph nodes are commonly involved. The patients have typically suffered from abdominal pain, diarrhea, or weight loss whereas some patients may manifest with nonspecific symptoms for a period of years or an acute emergency of perforation, obstruction, or hemorrhage. The clinical course of EATL is very unfavorable and the prognosis is poor. Both celiac sprue and EATL are very rare diseases in Asia, except India and Middle East. We report a 60-year-old male diagnosed as having EATL after segmental small bowel resection, who presented with recurrent gastrointestinal bleeding.
Yang
Dong Hoon
DH
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea.
Myung
Seung-Jae
SJ
Chang
Hye-Sook
HS
Song
Jin Woo
JW
Yang
Suk-Kyun
SK
Lee
Gin Hyug
GH
Jung
Hwoon-Yong
HY
Hong
Weon-Seon
WS
Kim
Jin-Ho
JH
Min
Young Il
YI
Kim
Hee Cheol
HC
Huh
Jooryung
J
Oh
Heung-Bum
HB
D002446:Celiac Disease / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology; D016399:Lymphoma, T-Cell / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012008:Recurrence