Abstract

VARGAS-AVILA, Arcenio Luis et al. Non-Hodgkin’s lymphoma gastrointestinal present as acute abdomen. Cir. gen [online]. 2019, vol.41, n.3, pp.208-216.  Epub Nov 27, 2020. ISSN 1405-0099.

Non-Hodgkin lymphoma is an uncommon cancer, but when it is a primary lymphoma, gastrointestinal tract is the most commonly involved and one of the most common extranodal site of presentation. There have been associated multiple risk factors, however its etiology is still unknown. Nowadays exist histochemical markers to distinguish the different cell types, criteria and scales to differentiate between primary and secondary intestinal lymphomas. The definitive diagnosis is obtainedwith the histopathologic and immunohistochemicalstudy of the extracted surgical piece or endoscopically, somestudies such as computed axial tomography or more recently capsule endoscopy and doublé balloon enteroscopy have taken importance in the diagnosis and treatment of this entity, accordingly, the videoendoscopy and endoscopic ultrasound have been useful to assist major complications, and the endoscopic ultrasound-guided fine needle aspiration has got high impact to diagnosis. Its presentation as acute surgical abdomen is rare and commonly denotes an advanced stage and poor prognosis, depending on the structures involved. Treatment depends on the stage in which the patient is found, whom in the majority of cases occurs in advanced stages, when the symptoms and complications are evident, including since surgical resection at an early stage to chemotherapy and radiotherapy in advanced stages. We report the case of a 57 years old male patient, who underwent surgery after presenting acute abdomen secondary to rupture of small intestine lymphoma that caused intra-abdominal hemorrhage.

Keywords : Lymphoma; small intestine; hemorrhage; acute abdomen.

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