A case of malignant lymphoma of the ileum with repeated ileus resected by laparoscopic surgery

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 70; no. 5; pp. 1411 - 1415
• Main Authors: YAMAZAKI, Kazumaro, BANDO, Tadashi, MASUYAMA, Kiichi, TAJIKA, Sadakatsu, TSUKADA, Kazuhiro
• Format: Journal Article
• Language: Japanese
• Published: Japan Surgical Association 2009
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.70.1411

We report a case of malignagnt lymphoma with recurrent bouts of ileus treated by laparoscopic surgery. A 71-year-old woman who had had recurrent episodes of abdominal pain and was resultantly diagnosed as having ileus was admitted to our hospital because of abdominal pain. The symptoms disappeared soon and she was discharged 3 days after admission. Four days later she visited our hospital again with a diagnosis of recurrence of ileus. Because she had previously undergone appendectomy and total hysterectomy, adhesive intestinal obstruction was the most likely diagnosis and laparoscopy-assisted surgery was performed. The intraoperative findings revealed no adhesions attributable to the ileus. But a tumorous lesion suggestive of serosal infiltration was noted about 120 cm oral from the Bauhin's valve. A minor median laparotomy was done and the tumor was found on palpation at the same site. A partial resection of the small intestine was performed. The tumor was diagnosed as malignant lymphoma (B cell type) by histopathological findings.