急性胰腺炎揭示弥漫性大B细胞淋巴瘤的诊断

Acute Pancreatitis Revealing a Diagnosis of Diffuse Large B-Cell Lymphoma.

作者信息

Herman Tessa, Wilson Natalie, Abdallah Mohamed, Bilal Mohammad, Nemat Hashim

机构信息

Department of Internal Medicine, University of Minnesota Medical Center, Minneapolis, MN.

Advanced Endoscopy, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, OH.

出版信息

ACG Case Rep J. 2024 Mar 28;11(4):e01320. doi: 10.14309/crj.0000000000001320. eCollection 2024 Apr.

Abstract

Acute pancreatitis is a common gastroenterological condition that can occur due to several causes. While not required for diagnosis, imaging is often performed and may reveal unexpected findings such as pancreatic masses. Malignancies such as lymphoma are uncommon causes of acute pancreatitis, especially as the initial presentation of malignancy. We present a case of a young patient with acute pancreatitis caused by diffuse large B-cell lymphoma with extranodal disease secondarily involving the pancreas. Our case highlights the importance of keeping a broad differential for acute pancreatitis and considering rare etiologies such as pancreatic lymphoma in patients without another obvious culprit.

摘要

急性胰腺炎是一种常见的胃肠疾病,可由多种原因引起。虽然影像学检查并非诊断所必需,但通常会进行,且可能发现意外情况,如胰腺肿块。淋巴瘤等恶性肿瘤是急性胰腺炎的罕见病因,尤其是作为恶性肿瘤的首发表现时。我们报告一例年轻患者,其急性胰腺炎由弥漫性大B细胞淋巴瘤引起,结外病变继发累及胰腺。我们的病例强调了对急性胰腺炎保持广泛鉴别诊断的重要性,并在没有其他明显病因的患者中考虑罕见病因,如胰腺淋巴瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af34/10977588/f08e51798c7a/ac9-11-e01320-g001.jpg

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