Jejunal Perforation: A Rare Presentation of Extra Nodal Follicular Lymphoma in Patientwith Hepatitis B
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
The non-traumatic perforations of the small intestine are pathological entities.The primary sources of the perforation might be foreign bodies, inflammatory diseases, tumors, infectious diseases, etc. In most cases intestinal perforation is discovered only by laparotomy and the definitive diagnosis is made only after histopathologic examination. Small bowel malignancies are rare; among them, lymphomas rank third in frequency, being mostly Bcell non Hodgkin lymphomas.Primary non-Hodgkin's lymphoma of the small bowel with hepatitis B presenting as a perforated viscus entity with peritonitis is extremely rare. A 58 year old man presented with pain abdomen and distension. An emergency laparotomy revealed a perforation in jejunum with enlarged mesenteric lymph nodes and mesenteric thickening which required segmental resection and anastomosis. Histopathological examination of the resected segment of jejunum revealed extranodal follicular lymphoma of small intestine. The nonspecific clinical manifestations of intestinal lymphomas make from diagnosis a difficult procedure. Lymphoma of the small intestine has been reported to have a poor prognosis. Early diagnosis and treatment are important to improve the prognosis of bowel perforation in patients with non-Hodgkin's lymphoma. This case illustrates a rare complication of follicular lymphoma of (large B-cell non-Hodgkin’s lymphoma) the jejunum associated with hepatitis B that was responsible for small-bowel perforation and following peritonitis.
Authors and Affiliations
Mahendra Lodha, Banwarilal Bairwa, Satyaprakash Meena, Ashok Puranik, Hitesh Bhulchandani, Ratan Raj
Keywords
Related Articles
- EP ID EP238800
- DOI 10.9790/0853-1611065659
- Views 89
- Downloads 0
The Effect of Immersing Post Hemimaxillectomy Patients’ Alginate Impression In Sodium Hypochlorite 0.5% on Klebsiella pneumoniae Count Over Gypsum Cast
Pneumonia is a major problem in health that can lead to death which one of the cause is Klebsiella pneumoniae. Post hemimaxillectomy cause communication between the nasal cavity and nasopharynx antrum opens, pathogenic b...
Mean Platelet Volume- Correlation with HbA1c and Its Association with Microvascular Complications In Type Ii Diabetes Mellitus
BACKGROUND: Diabetes mellitus (DM) is a global pandemic. Increased platelet activation has been suggested to be involved in the pathogenesis of vascular complications. Platelet volume, a marker of the platelet function a...
Post Appendectomy Syndrome
Summary: On the basis of my experience of more than twenty years surgical practice, I have found that a large number of patients suffer from persisting right lower abdominal pain after appendectomy. This perplexing situa...
Prognostic Value of Cardiac Biomarkers in Hemodialysis Patients – which one to use?
The high prevalence of cardiovascular mortality in the end-stage renal disease population is well established. The aim of this current study was to document the relative prognostic significance of established biomarkers...
Lipid profile of patients with diabetes mellitus: a cross sectional study
Background: Dyslipidemia is one of the common disorders which is seen in most of the diabetic patients, which causes cardio vascular disorders. Objective: To detect the lipid abnormality in diabetic patients. Methods: Th...