Finan P J, Thompson M R
Postgrad Med J. 1980 Dec;56(662):859-61. doi: 10.1136/pgmj.56.662.859.
A case of perforation of a small bowel lymphoma in a patient with coeliac disease is reported. Postoperative management was complicated by a large protein and fluid loss from the small bowel, rapidly controlled by treatment with corticosteroids. Attention is drawn, by briefly reviewing 11 other cases, to the ways in which small bowel lymphoma in patients with coeliac disease may present to the surgeon. Most patients who develop this complication of coeliac disease will die within 6 months of the diagnosis of small bowel lymphoma. Attention is drawn in this case to the rapidity with which the tumour grew and became disseminated.
报告了1例患有乳糜泻的患者发生小肠淋巴瘤穿孔的病例。术后管理因小肠大量蛋白质和液体流失而复杂化，通过使用皮质类固醇治疗迅速得到控制。通过简要回顾其他11例病例，提醒外科医生注意患有乳糜泻的患者小肠淋巴瘤的表现方式。大多数发生乳糜泻这种并发症的患者将在小肠淋巴瘤诊断后的6个月内死亡。该病例提醒注意肿瘤生长和扩散的速度。
