[Difficulties in diagnostics in recurrent abdominal pains in 71-years-old patient].
Neoplasm of B-cell origin is the most frequent malignant disease of the lymphatic tissue. It is usually presented as enlargement of lymph nodes, hepatosplenomegaly, skeletal pains and gastrointestinal dysfunction. Splenic lymphoma can cause the difficulties in diagnostic procedures (ultrasound and computed tomography). It may be nearly anechoic and mimic a cyst, abscess or parasitic mass. We describe a course of the disease and diagnostic troubles noted in 71-years-old patient, in whom splenic cysts enlarging rapidly were observed. Splenectomy due to presented difficulties in diagnosis such as clinical disquiet about subsequent course of the disease was performed. It let us to recognize malignant lymphoma and initiate a correct treatment strategy.
Klinika Chorób Tropikalnych i Pasozytniczych, Akademickie Centrum Medycyny Morskiej i Tropikalnej Społecznego Publicznego Szpitala Klinicznego Akademii Medycznej w Gdańsku. annakuna@komt.gdynia.pl
Anna
A
Kuna
Anna
A
Wojtacha
Justyna
J
Kostro
Wacław L
WL
Nahorski
D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology*; D000368:Aged; D003560:Cysts / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000150:complications* / Q000601:surgery*; D012008:Recurrence; D013156:Splenectomy; D013158:Splenic Diseases / Q000150:complications / Q000601:surgery