Mesentery lymphoma in a patient with Crohn's disease: An extremely rare entity
| Autor: | Georgios Gemenetzis, John Chrysikos, Charalampos Seretis, Lagoudianakis E, Andreas Manouras, Nikolaos Koronakis, Apostolos Pappas, Dimitrios Keramidaris |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Lymphoma Case Report Disease Inflammatory bowel disease Gastroenterology immune system diseases hemic and lymphatic diseases Internal medicine Rare case medicine Mesentery Crohn's disease business.industry Rare entity medicine.disease digestive system diseases medicine.anatomical_structure Immunomodulators Surgery business Complication |
| Zdroj: | International Journal of Surgery Case Reports. 3(7):343-345 |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2012.04.005 |
| Popis: | INTRODUCTIONLymphoma is a rare complication of long-standing Crohn's disease. We report a rare case of a diffuse, B-cell non-Hodgkin's lymphoma of the mesentery in a patient receiving treatment for Crohn's disease.PRESENTATION OF CASEA 52 year-old patient presented with abdominal pain, anorexia and postprandial fullness. Abdominal examination revealed a firm mass, extending from the epigastrium to the right iliac fossa. CT scan showed a large intra-abdominal mass with air-fluid levels within, and soft tissue density along its walls, surrounded by distended bowel loops. The patient was scheduled for surgery due to clinical assumption of an intra-abdominal abscess. At laparotomy an ill-defined, lobulated mass with cystic areas was noted rising from the mesentery. Frozen section biopsy of the cystic mass revealed a non-Hodgkin follicle center B-cell lymphoma of the mesentery.DISCUSSIONTo the best of our knowledge, this is an extremely rare case of lymphoma development in the mesentery, in a patient receiving treatment for Crohn's disease. Although the development of abdominal lymphomas can be justified as a possible consequence of the chronic immune-modulating therapy, their location can lead to diagnostic pitfalls.CONCLUSIONAlthough mesentery has scarcely been presented as a potential site of occurrence of abdominal lymphomas in the process of treatment of inflammatory bowel diseases, this rare entity should be considered in the differential diagnosis of intra-abdominal lymphomas in patients with inflammatory bowel disease. In cases where imaging techniques do not provide definitive answers, surgical intervention can safely pose the accurate diagnosis. |
| Databáze: | OpenAIRE |
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