Kinaci E, Gunes ME, Huq GE. An unusual presentation of EATL type 1: Emergency surgery due to life-threatening gastrointestinal bleeding.
Int J Surg Case Rep 2013;
4:961-4. [PMID:
24055918 PMCID:
PMC3825927 DOI:
10.1016/j.ijscr.2013.08.007]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2013] [Revised: 08/16/2013] [Accepted: 08/18/2013] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION
Enteropathy-associated T-cell lymphoma (EATL) is a very rare malignancy. Reasons for hospital admission are variable.
PRESENTATION OF CASE
76 years old man admitted to emergency service with sudden and massive obscure gastrointestinal bleeding. There was no complaints in his history. After initial evaluation, emergency laparatomy had to be done. Bleeding lesion in proximal jejunum was resected. Histopathologically, the muscularis propria had abundant atypical lymphoid infiltrate in diffuse pattern. Atypical lymphoid cells expressed CD3 and CD30. The jejunal mucosa adjacent to the tumor showed effacement of normal villous architecture.
DISCUSSION
EATL is known to cause anemia as a result of chronic bleeding. However in this case, the bleeding was abundant, irreplaceable and requiring emergency surgery. To our knowledge it is not reported previously.
CONCLUSION
A sudden and massive gastrointestinal bleeding can be the first and unique sign of EATL.
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