Imrani K, Lahfidi A, Belkouchi L, Jerguigue H, Latib R, Omor Y
National Institute of Oncology, Mohammed V University, Rabat, Morocco.
Radiol Case Rep. 2020 Dec 23;16(3):547-549. doi: 10.1016/j.radcr.2020.12.044. eCollection 2021 Mar.
Small bowel lymphoma accounts for 10%-30% of gastro-intestinal tumors. Clinical presentation is not specific. CT scans helps the diagnosis showing some characteristic appearances such as wall thickening of the loops, enlarged lymph nodes and infiltration of mesenteric fat. Pseudoaneurysmal intestinal dilatation is uncommon and may cause bowel obstruction which is a diagnostic and therapeutic emergency. We report the case of a 73-year-old man, who presented for occlusive syndrome revealing hail lymphoma. Pseudoaneurysmal intestinal dilatation is an uncommon presentation of lymphoma that should evoke the diagnosis especially when associated to wall thickening of the loops and lymphadenopathy.
小肠淋巴瘤占胃肠道肿瘤的10%-30%。临床表现不具特异性。CT扫描有助于诊断，可显示一些特征性表现，如肠袢壁增厚、淋巴结肿大和肠系膜脂肪浸润。假性动脉瘤样肠扩张并不常见，可能导致肠梗阻，这是一种诊断和治疗上的紧急情况。我们报告一例73岁男性患者，因闭塞综合征就诊，发现为小肠淋巴瘤。假性动脉瘤样肠扩张是淋巴瘤的一种罕见表现，尤其当与肠袢壁增厚和淋巴结病相关时，应引起对该病的诊断。
