title: Acute onset of non-Hodgkin's lymphoma with serious gastrointestinal haemorrhage: diagnosis and surgical treatment (case report).
abstract: The authors report a rare case of acute onset of gastrointestinal non-Hodgkin's lymphoma with acute gastrointestinal haemorrhage. The patient, a man aged 49 years, was admitted to the surgical department for the evaluation of an increased anemia and weakness. Physical examination disclosed mild epigastric tenderness in response to palpation but no palpable mass. Few hours after hospital admission, he underwent a serious gastrointestinal haemorrhage with shock. Laparotomy revealed that the malignant lesions were in the upper and in the middle of the stomach and multiple white lesions were found in the small bowel. A standard radical gastrectomy with D2 lymphadenectomy and bowel resection (about 120 cm) was performed; bowel canalization was restored by esophago-jejunal end-to-side anastomosis Roux-en-Y. The main problems of surgical treatment are discussed.
authors.affiliation: Unità Operativa Chirurgia Generale 3a, D.A.C.T.I., Sezione di Chirurgia Generale e Chirurgia Toracica, Università degli Studi di Bari.
authors.forename: Curzio
authors.initials: C
authors.lastname: Lorusso
authors.forename: Domenico
authors.initials: D
authors.lastname: Merlicco
authors.forename: Michele
authors.initials: M
authors.lastname: Nacchiero
mesh_terms: D000208:Acute Disease; D000713:Anastomosis, Roux-en-Y; D003937:Diagnosis, Differential; D005743:Gastrectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery*; D005770:Gastrointestinal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008228:Lymphoma, Non-Hodgkin / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index