A Case of T-Cell Lymphoma Treated by Emergency Surgery Due to Bleeding of Jejunal Lesion

A 78-year-old man was aware of lightheadedness and darkness at a routine outpatient visit, and his blood pressure was declined at 87/51 mmHg. Contrast-enhanced CT scan showed an extravascular leakage image at jejunum. We diagnosed as small intestinal hemorrhage. Because he was in hemorrhagic shock,...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 50; no. 13; p. 1641
Main Authors Fujii, Yu, Sawazaki, Sho, Higuchi, Akio, Fukuda, Toshiyuki, Minowa, Kazuaki, Nakazono, Masato, Kato, Aya, Kawabe, Taiichi, Kojima, Yui, Aoyama, Toru, Tamakawa, Hiroshi, Yukawa, Norio, Rino, Yasushi, Saito, Aya, Saeki, Hiroyuki
Format Journal Article
LanguageJapanese
Published Japan 01.12.2023
Subjects
Aged
Gastrointestinal Hemorrhage
Humans
Jejunum - surgery
Leukemia-Lymphoma, Adult T-Cell - complications
Leukemia-Lymphoma, Adult T-Cell - surgery
Lymphoma, T-Cell
Lymphoma, T-Cell, Peripheral
Male
Positron Emission Tomography Computed Tomography
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Summary:A 78-year-old man was aware of lightheadedness and darkness at a routine outpatient visit, and his blood pressure was declined at 87/51 mmHg. Contrast-enhanced CT scan showed an extravascular leakage image at jejunum. We diagnosed as small intestinal hemorrhage. Because he was in hemorrhagic shock, emergency surgery was performed. A tumor was found coincident with the bleeding site, and partial resection of the small intestine including enlarged lymph nodes was performed. Based on the pathological findings of T-cell origin and positive for serum anti-HTLV-1 antibody, he was suspected as adult T-cell leukemia/lymphoma(ATLL). Endoscopic examination of the upper and lower gastrointestinal tracts, bone marrow examination, and PET-CT scan were performed, but no other lesions were found. We report a case of the T-cell lymphoma with suspected solitary ATLL of the jejunum.
ISSN:0385-0684