Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
10.5223/pghn.2019.22.6.571
- Author:
Hansa SRIPHONGPHANKUL
1
;
Pornthep TANPOWPONG
;
Nichanan RUANGWATTANAPAISARN
;
Chollasak THIRAPATTARAPHAN
;
Suporn TREEPONGKARUNA
Author Information
1. Department of Pediatrics, Ramathibodi Hospital, Faculty of Medicine, Mahidol University, Bangkok, Thailand. pornthep.tan@mahidol.ac.th
- Publication Type:Case Report
- Keywords:
Hepatitis;
Pancreatitis;
Vomiting;
Duodenal mass
- MeSH:
Abdominal Pain;
Adolescent;
Drug Therapy;
Duodenum;
Endoscopy;
Female;
Hematoma;
Hepatitis;
Humans;
Lymphoma, Large-Cell, Anaplastic;
Pancreatitis;
Vomiting
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2019;22(6):571-575
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the duodenal wall, causing partial obstruction. Supportive therapy failed. Repeat CT showed no significant change from the initial study. The patient underwent upper endoscopy, which revealed a mass in the second portion of the duodenum, which occluded most parts of the lumen. The histopathological finding was consistent with an anaplastic large cell lymphoma, a rare form of small bowel neoplasm. After the third course of chemotherapy, complete resolution of the mass was noted, and her symptoms were relieved.
