伴有多发性胃溃疡的腹腔疾病并发淋巴瘤

Celiac sprue complicated by lymphoma presenting with multiple gastric ulcers.

作者信息

Roehrkasse R L, Roberts I M, Wald A, Talamo T S, Mendelow H

出版信息

Gastroenterology. 1986 Sep;91(3):740-5. doi: 10.1016/0016-5085(86)90648-7.

Abstract

A 40-yr-old woman with celiac sprue, which had responded clinically and histologically to gluten elimination, subsequently developed gastrointestinal lymphoma. Although this has been described in the small intestine of patients with celiac sprue, the unique feature in this patient was her initial presentation with multiple gastric ulcers refractory to conventional medical therapy. This case demonstrates that lymphoma complicating celiac sprue may present with multiple refractory gastric ulcers in addition to those occurring in the small intestine.

摘要

一名40岁患有乳糜泻的女性，其病情在临床上和组织学上对消除麸质有反应，但随后发展为胃肠道淋巴瘤。虽然这种情况在乳糜泻患者的小肠中已有描述，但该患者的独特之处在于她最初表现为多个常规药物治疗无效的胃溃疡。该病例表明，乳糜泻并发的淋巴瘤除了可出现在小肠外，还可能表现为多个难治性胃溃疡。