This is a case of monomorphic epitheliotropic intestinal T cell lymphoma presenting as ruptured viscous in a 64-year-old male. Monotonous cells were seen to infiltrate the full thickness of the bowel with immunoreactivity for CD3, CD8, CD56, CD68 and Granzyme B. The patient subsequently presented with maxillary and alveolar mass with similar immunohistomorphologic findings, suggesting metastasis. This rare disease has poor prognosis thus further reports should be conducted to profile this type of tumor.