The Korean Journal of Helicobacter and Upper Gastrointestinal Research  2011;11(3):205-208

doi:10.7704/kjhugr.2011.11.3.205

Jejunal Perforation Caused by Primary Jejunal Diffuse Large B Cell Lymphoma.

Seung Hyun OH 1 ; Hye Seon KANG ; Eun Ok KIM ; Byung Soo JIE ; Hwa Jeong LEE ; Youn Mi SONG ; Jin Seok KIM ; Jung Hwan OH

Affiliations

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Keywords

Lymphoma; Intestinal perforation; Jejunum

Country

Republic of Korea

Language

Korean

Abstract

Small bowel malignancy accounts for approximately 2% of gastrointestinal malignancies. In particular, malignant lymphoma of the small intestine is so rare that it accounts for less than 1% of gastrointestinal malignancies. Initial symptoms are non-specific and diagnosis may be delayed until the patient presents with complications such as intestinal obstruction, hemorrhage, or perforation. A 79-year-old man visited the emergency room with lower abdominal pain. Segmental resection of the small intestine was done and surgery revealed a 9.5x6 cm sized mass with jejunal perforation at 20 cm inferior to the ligament of Treitz. The mass was diagnosed as diffuse large B cell lymphoma. We experienced a case of diffuse large B cell lymphoma which was diagnosed after emergent surgery for jejunal perforation, and report it with a review of literature.