Gopalakrishna Harish, Al-Abdouh Ahmad, Nair Gayatri, Bekele Ammer
Internal Medicine, Saint Agnes Hospital, Baltimore, USA.
Cureus. 2020 Aug 27;12(8):e10084. doi: 10.7759/cureus.10084.
Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) is a rare, rapidly progressive, primary intestinal T-cell lymphoma. It is most commonly seen in the Asian and Hispanic populations and is usually not related to celiac disease, unlike type I enteropathy associated T-cell lymphoma. The most common site of occurrence is the small intestine. Patients usually present during the advanced stage of disease with clinical features of intestinal perforation or obstruction. The late clinical presentation and lack of targeted therapy are factors contributing to its poor prognosis. Here, we are presenting the case of a patient who initially came to the hospital for a urinary tract infection. As his abdominal CT scan showed abdominal wall thickening, he underwent further workup which revealed the diagnosis of MEITL.
单形性上皮趋化性肠道T细胞淋巴瘤（MEITL）是一种罕见的、进展迅速的原发性肠道T细胞淋巴瘤。它最常见于亚洲和西班牙裔人群，通常与乳糜泻无关，这与I型肠病相关T细胞淋巴瘤不同。最常见的发病部位是小肠。患者通常在疾病晚期出现，伴有肠道穿孔或梗阻的临床特征。临床症状出现较晚以及缺乏靶向治疗是导致其预后不良的因素。在此，我们报告一例患者，该患者最初因尿路感染前来医院就诊。由于其腹部CT扫描显示腹壁增厚，他接受了进一步检查，结果确诊为MEITL。
