Gastric perforation by MALT lymphoma. Case report

• Published in: Cirugia y cirujanos Vol. 83; no. 3; p. 217
• Main Authors: López-Zamudio, José, Ramírez-González, Luis Ricardo, Núñez-Márquez, Julia, Fuentes Orozco, Clotilde, González Ojeda, Alejandro, Leonher-Ruezga, Karla Lisseth
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01.05.2015
• Subjects: Humans; Lymphoma, B-Cell, Marginal Zone - complications; Male; Stomach Neoplasms - complications; Stomach Rupture - etiology; Young Adult; Tumor gástrico; Gastric lymphoma; Gastric neoplasms; Tumor de tejido linfoide asociado a mucosas; Mucosa associated lymphoid tissue lymphoma; Linfoma gástrico
• ISSN: 2444-054X
• DOI: 10.1016/j.circir.2015.05.004

Gastric non-Hodgkin lymphoma is a rare tumour that represents approximately 7% of all stomach cancers and 2% of all lymphomas. The most frequent location of gastric MALT (mucosa associated lymphoid tissue) lymphomas is in the antrum in 41% of the cases, and 33% can be multifocal. The risk of spontaneous perforation of a gastric MALT lymphoma is 4-10%. 24 year old male patient carrying the Human Immunodeficiency Virus, who began with signs and symptoms of acute abdomen and fever 72 hours before arriving in the emergency room. A computed tomography was performed that showed free fluid in the cavity, and gastric wall thickening. The patient underwent a laparotomy, finding absence of the anterior wall of the stomach, sealed with the left lobe of the liver, colon and omentum. Total gastrectomy, with oesophagosty and jejunostomy tube, was performed. Gastric perforation secondary to a MALT lymphoma is rare, with high mortality. There is limited information reported of this complication and should be highly suspected in order to provide appropriate treatment for a complication of this type.