Juma Afra Abdulla, Abubaker Faisal, Sharif Omar, Aljufairi Eman
Department of Internal Medicine, King Hamad University Hospital, Busaiteen, Muharraq, Kingdom of Bahrain.
Gastro Hep Adv. 2023 Jul 17;2(7):943-945. doi: 10.1016/j.gastha.2023.06.013. eCollection 2023.
This case report presents the clinical findings, diagnostic evaluation, and treatment options for a 71-year-old female patient with a medical history of hypertension, dyslipidemia, and recurrent urinary tract infections. The patient presented with chronic abdominal pain as the sole symptom. Despite normal laboratory investigations, esophagogastroduodenoscopy and ileocolonoscopy were performed. Biopsies were obtained from the duodenum and histopathological analysis confirmed a diagnosis of duodenal-type follicular lymphoma. This rare condition typically presents with minimal clinical symptoms and has a favorable prognosis. Treatment options for duodenal-type follicular lymphoma include a watch-and-wait strategy, rituximab monotherapy, and radiotherapy.
本病例报告介绍了一名71岁女性患者的临床发现、诊断评估及治疗方案，该患者有高血压、血脂异常和复发性尿路感染病史。患者仅以慢性腹痛为唯一症状。尽管实验室检查结果正常，但仍进行了食管胃十二指肠镜检查和回结肠镜检查。从十二指肠获取了活检组织，组织病理学分析确诊为十二指肠型滤泡性淋巴瘤。这种罕见疾病通常临床症状轻微，预后良好。十二指肠型滤泡性淋巴瘤的治疗方案包括观察等待策略、利妥昔单抗单药治疗和放疗。
