Gastric Perforation Caused by Primary Gastric Diffuse Large B Cell Lymphoma.
- Author:
Ju Seok KIM
1
;
Woo Sun ROU
;
Byung Moo AHN
;
Hee Seok MOON
;
Sun Hyung KANG
;
Jae Kyu SUNG
;
Hyun Yong JEONG
;
Kyu Sang SONG
Author Information
- Publication Type:Case Reports
- Keywords: Gastric lymphoma; Perforation
- MeSH: Abdominal Pain; Antigens, CD20/metabolism; Antigens, CD45/metabolism; Antineoplastic Combined Chemotherapy Protocols/therapeutic use; Gastrectomy; Humans; Intestinal Perforation/diagnostic imaging; Lymphoma, Large B-Cell, Diffuse/*diagnosis/drug therapy/pathology; Lymphoma, Non-Hodgkin/*diagnosis/drug therapy/pathology; Male; Middle Aged; Positron-Emission Tomography; Stomach Neoplasms/*diagnosis/drug therapy/pathology; Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology 2015;65(1):43-47
- CountryRepublic of Korea
- Language:Korean
- Abstract: Spontaneous gastric perforation is a rare complication of gastric lymphoma that is potentially life threatening since it can progress to sepsis and multi-organ failure. Morbidity also increases due to prolonged hospitalization and delay in initiating chemotherapy. Therefore prompt diagnosis and appropriate treatment is critical to improve prognosis. A 64-year-old man presented to the emergency department with severe abdominal pain. Chest X-ray showed free air below the right diaphragm. Abdominal CT scan also demonstrated free air in the peritoneal cavity with large wall defect in the lesser curvature of gastric lower body. Therefore, the patient underwent emergency operation and primary closure was done. Pathologic specimen obtained during surgery was compatible to diffuse large B cell lymphoma. Fifteen days after primary closure, the patient received subtotal gastrectomy and chemotherapy was initiated after recovery. Patient is currently being followed-up at outpatient department without any particular complications. Herein, we report a rare case of gastric lymphoma that initially presented as peritonitis because of spontaneous gastric perforation.
