Two Cases of Small Intestinal Malignant Lymphoma with Perforation

Shinichiro Kobayashi, Hiroshi Koyama, Kazumi Takeuchi, Kenichiro Takashina, Sadao Kawakami, Yoshihiro Fujita

Department of Surgery, Fukuchiyama City Hospital

Two cases of small intestinal malignant lymphoma with perforation are reported. The first case was a 37-year-old woman who was admitted for right lower abdominal intensive pain. Emergency laparotomy was performed, and elastic hard tumors with perforation were found on the oralside of the ileocecal valve. Then ileocecal resection was performed. After the operation, which was not curative, the patient was diagnosed as having stage IV lymphoma. Chemotherapy had been expected to be effective, but it was not so effective. She died 11 months after the operation. The second case was a 71-year-old man who was admitted for lower abdominal intensive pain. He underwent on emergency operation with diagnosis of perforated peritonitis. By laparotomy an elastic hard tumor was found on the oralside of the ileocecal valve, and the ileum was partially resected. After the operation he was diagnosed as having stage III lymphoma. Postoperative chemotherapy was especially beneficial, and the patients is very well at the 10 th month after the operation. It is considered that staging and results of chemotherapy determine the prognosis.

Key words
malignant lymphoma of small intestine, perforation

Reprint requests
Shinichiro Kobayashi First Department of Surgery, Kyoto Prefectural University of Medicine
Kawaramachi, Hirokoji, Kamigyoku, Kyoto, 602-0841 JAPAN

Accepted
December 3, 1997

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