Intestinal lymphoma presenting as intermittent bloody diarrhea and abdominal pain

Document Type : Case Reports and Brief Reports

Authors

1 Gastroenterologist, Research Center for Infectious Diseases of Digestive System, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Fellowship of Gastroenterology, GI ward, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Abstract

Background: Primary lymphoma of the colon is a rare tumor of the GI tract that comprises only 0.2-1.2% of all colonic malignancies and most commonly involve the cecum followed by the right colon and sigmoid. They can mimic features of ulcerative colitis and in this article we reporting a colonic lymphoma, which misdiagnosed as a refractory IBD.
Case Report: This is a middle- aged man presenting with abdominal pain and bloody diarrhea, which is diagnosed as ulcerative colitis, but due to the refractory symptoms and non-responsiveness, he has undergone further evaluation, which revealed the primary diffuse large B -cell lymphoma of the colon as the main culprit of patients’ symptoms and referred for systemic chemotherapy.
Conclusion: Colonic lymphomas can be presented as a mucosal type and characterized by small superficial erosive and hyperemic changes within a mucosal layer that can mimic the features of ulcerative colitis, so in any refractory IBD, their possibility should keep in mind.

Keywords

Full Text

Ali Akbar Shayesteh (PubMed)(Google Scholar)
Pezhman Alavinejad (PubMed)(Google Scholar)

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Jundishapur Journal of Oncology
Volume 1, Issue 2 - Serial Number 2
December 2015
Pages 19-22

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History

  • Receive Date: 05 October 2015
  • Revise Date: 01 November 2015
  • Accept Date: 18 November 2015

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