A Case of Enteropathy-associated T-cell Lymphoma Presenting with Recurrent Hematochezia.
- Author:
Dong Hoon YANG
1
;
Seung Jae MYUNG
;
Hye Sook CHANG
;
Jin Woo SONG
;
Suk Kyun YANG
;
Gin Hyug LEE
;
Hwoon Yong JUNG
;
Weon Seon HONG
;
Jin Ho KIM
;
Young Il MIN
;
Hee Cheol KIM
;
Jooryung HUH
;
Heung Bum OH
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sjm5675@amc.seoul.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Lymphoma;
T-cell;
enteropathy-associated;
Celiac sprue;
Gastrointestinal bleeding
- MeSH:
Celiac Disease/*complications;
Gastrointestinal Hemorrhage/*etiology;
Humans;
Intestinal Neoplasms/complications/*diagnosis/pathology;
Intestine, Small/pathology;
Lymphoma, T-Cell/complications/*diagnosis/pathology;
Male;
Middle Aged;
Recurrence
- From:The Korean Journal of Gastroenterology
2003;42(6):527-532
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Enteropathy-associated T-cell lymphoma (EATL) is an unusual primary gastrointestinal lymphoma, particularly associated with celiac sprue. This tumor usually affects the jejunum and grossly presents as multiple circumferential ulcers without the formation of definite tumor masses. Moreover, mesenteric lymph nodes are commonly involved. The patients have typically suffered from abdominal pain, diarrhea, or weight loss whereas some patients may manifest with nonspecific symptoms for a period of years or an acute emergency of perforation, obstruction, or hemorrhage. The clinical course of EATL is very unfavorable and the prognosis is poor. Both celiac sprue and EATL are very rare diseases in Asia, except India and Middle East. We report a 60-year-old male diagnosed as having EATL after segmental small bowel resection, who presented with recurrent gastrointestinal bleeding.