Fukuoka Tomoki, Suzuki Akihiro, Uda Hiroaki, Mizuno Akira, Nishi Tetsuo, Endo Katsuhiko, Sano Masaaki
Dept. of Surgery, Nagoya Memorial Hospital.
Gan To Kagaku Ryoho. 2024 Aug;51(8):846-848.
An 86 years old man was diagnosed with jejunum tumor by detail examination of anemia. Eight days after endoscopy he developed abdominal pain, an emergency surgery was performed by a diagnosis of gastrointestinal perforation. They detected perforation in jejunum and performed jejunum resection, small intestinal lymphoma was diagnosed by histopathological examination. We were talked about chemotherapy against lymphoma, he was transferred at our hospital. The first chemotherapy was provided, abdominal pain appeared at 2 days after chemotherapy. Computed tomography revealed air bubbles out of intestinal tract, we performed emergency operation. A perforation of jejunum in the part where is different from the last time was existed, we performed jejunum resection. Chemotherapy was performed postoperatively, resulted in successful progress. Lymphoma of gastrointestinal tract often causes intestinal perforations, but reports that perforations heterochrony in separate parts multiple tumors of intestine is rare. We report a case of intestinal lymphoma with 2 perforations in a short period time.
一名86岁男性因贫血详细检查被诊断为空肠肿瘤。内镜检查8天后，他出现腹痛，经诊断为胃肠道穿孔后进行了急诊手术。术中发现空肠穿孔并进行了空肠切除，组织病理学检查诊断为小肠淋巴瘤。我们讨论了针对淋巴瘤的化疗方案，随后他被转至我院。给予首次化疗，化疗后2天出现腹痛。计算机断层扫描显示肠道外有气泡，遂进行急诊手术。发现此次空肠穿孔部位与上次不同，再次进行了空肠切除。术后继续化疗，病情进展顺利。胃肠道淋巴瘤常导致肠穿孔，但同一肠道多发肿瘤在不同部位出现异时性穿孔的报道较为罕见。我们报告了一例短期内发生两次肠穿孔的肠道淋巴瘤病例。
