Bowel perforation from occult ileal involvement after diagnosis in a case of primary mediastinal large B-cell lymphoma. (14th July 2016)

• Record Type: Journal Article
• Authors: De Philippis, Chiara; Di Chio, Maria Chiara; Sabattini, Elena; Bolli, Niccolo
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-07-14
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-216317
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Primary mediastinal large B-cell lymphoma (PMBCL) is confined to the mediastinum or contiguous nodal areas in most cases. Extramediastinal and abdominal involvement, especially at diagnosis, is extremely rare. Our case describes the first case of histologically proven ileal involvement of PMBCL at diagnosis that led to ileal perforation. Positron emission tomography CT could increase the sensitivity of staging by detecting unusual sites of disease localisation, and could impact clinical management.