A Case of Peripheral T-cell Lymphoma Presenting with Small Bowel Perforation

Korean J Gastrointest Endosc > Volume 37(1); 2008 > Article

Korean Journal of Gastrointestinal Endoscopy 2008;37(1): 40-44.

소장 천공으로 수술 후 진단된 원발성 말초성 T-세포 림프종 1예

김세원ㆍ임윤정ㆍ김형우ㆍ김도연ㆍ양창헌ㆍ이진호ㆍ김홍용*ㆍ김어진^†ㆍ이용석^‡

동국대학교 의과대학 내과학교실, *외과학교실, ^†병리학교실, ^‡영상의학교실

A Case of Peripheral T-cell Lymphoma Presenting with Small Bowel Perforation

Se Won Kim, M.D., Yun Jeong Lim, M.D., Hyoung Woo Kim, M.D., Do Yeun Kim, M.D., Chang-Hun Yang, M.D., Jin Ho Lee, M.D., Hong-Yong Kim, M.D.*, Eo-Jin Kim, M.D.^†and Yong Seok Lee, M.D.^‡

Departments of Internal Medicine, *Surgery, ^†Pathology and ^‡Radiology, Dongguk University College of Medicine, Goyang, Korea

Abstract

Malignant lymphoma of the gastrointestinal tract is a rare lesion that comprises 1∼4% of all the malignant neoplasms of the gastrointestinal tract. The incidence of intestinal T-cell lymphoma is much lower than that of the B-cell type. Intestinal T-cell lymphoma can sometimes carry a very poor prognosis because these patients are often diagnosed at advanced stages. These patients mostly present with nonspecific symptoms such as weight loss, abdominal pain or diarrhea and more frequently with features of small bowel obstruction or perforation. We report here on a case of a malignant small intestinal T-cell lymphoma that presented with perforation. A 51-year-old female had emergency operation because of small bowel perforation and she was diagnosed withperipheral T-cell lymphoma on the post-operative pathologic report. (Korean J Gastrointest Endosc 2008;37:40-44)

Key Words: Lymphoma, T-cell, Intestinal perforation

주요어: 림프종, T-세포, 장천공