Non-Hodgkin Lymphoma of the jejunum presenting as perforation peritonitis: A case report. (July 2020)

• Record Type: Journal Article
• Authors: Warsinggih, ; Darmadi, Suluh; Prihantono, ; Faruk, Muhammad
• Is Part Of: Annals of medicine and surgery. Volume 55(2020)
• Page Start: 131
• Page End: 134
• Publication Date: 2020-07
• Subjects: Non-Hodgkin lymphoma -- Peritonitis -- Intestinal perforation -- Case report; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2020.04.041
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Primary gastrointestinal lymphoma is very rare compared to gastrointestinal tract lymphoma arising from secondary to primary nodal disease. Extra nodal lymphoma can involve any part of the gastrointestinal tract, most commonly being the stomach followed by small intestine and ileocecal region. They are indistinguishable from other benign and malignant conditions and are clinically non-specific. While perforation is common among patients undergoing lymphoma treatment, presentation of primary gastrointestinal lymphoma as perforation is rare and needs proper evaluation and management. Here, we describe an interesting case in which a patient presenting with peritonitis was found to have perforation and mass of the jejunum. Resection and anastomosis were performed as intervention, with subsequent histopathological examination showing Malignant Non-Hodgkin lymphoma (NHL). Postoperative follow up was provided along with the appropriate chemotherapy regimen. Highlights: Perforated hollow viscus is the perforation of any hollow viscera resulting from inflammatory, infectious, traumatic causes, and neoplasms. Lymphoma may cause peritonitis due to hollow viscus perforation. Clinicians should be aware of peritonitis due to Non-Hodgkin Lymphoma because the clinical presentation of small intestinal lymphoma is non-specific.