Primary small intestinal mucosa-associated lymphoid tissue lymphoma diagnosed by balloon-assisted enteroscopy

Yuji Nadatani, Tetsuya Tanigawa*, Shusei Fukunaga, Yosuke Kinoshita, Masaki Ominami, Tomoko Obayashi, Kenichi Morimoto, Mitsue Sogawa, Hirokazu Yamagami, Masatsugu Shiba, Kenji Watanabe, Toshio Watanabe, Kazunari Tominaga, Yasuhiro Fujiwara, Tetsuo Arakawa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

A 78-year-old Japanese woman presented with anemia. Oral double-balloon endoscopy (DBE) detected multiple ulcerative lesions covered with coagula extending up to approximately 20 cm from the mid-jejunum. Based on the histopathological findings, the patient’s condition was diagnosed as mucosa-associated lym-phoid tissue (MALT) lymphoma of the small intestine. During the second DBE examination, a small intestinal perforation occurred in one of the ulcerative lesions, and an emergency segmental small intestinal resection was performed. The present case suggests that in MALT lymphoma, intestinal wall fragility may lead to perforation even though the lesion may appear to be a superficial ulcer on endoscopy.

Original languageEnglish
Pages (from-to)2671-2674
Number of pages4
JournalInternal Medicine
Volume53
Issue number23
DOIs
StatePublished - 2014

Keywords

  • MALT lymphoma
  • Small intestine

ASJC Scopus subject areas

  • Internal Medicine

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