A Case of Malignant Lymphoma with Spontaneous Gastric Perforation

Tatsuya Tanaka, Mai Iwasa, Hiroshi Haneda, Yasuyuki Shibata, Naoki Nishiwaki and Hironori Tanaka

Department of Surgery, Nagoya City Higashi Municipal Hospital

We report a rare case of primary gastric lymphoma with spontaneous perforation. An 84-year-old woman admitted elsewhere for anorexia and diagnosed with gastric diffuse large B cell lymphoma suffered acute abdominal pain after a meal 1 day after admission to our hospital. Based on a diagnosis of a gastric perforation due to malignant lymphoma, we conducted emergency surgery, finding a 1 cm perforation in the middle greater curvature of the stomach. Due to the woman's poor condition and an age, we temporarily closed the perforation with an omental patch and, 27 days later when her condition had improved, we conduced distal gastrectomy. Eight weeks and 2days after initial surgery, she was transferred to the internal medicine department. In so far as we know, only 24 spontaneous perforations in gastric malignant lymphoma, including our case, have been reported in the Japanese literature in the last 23 years.

Key words
gastric malignant lymphoma, spontaneous perforation

Reprint requests
Tatsuya Tanaka Department of Surgery, Nagoya City Higashi Municipal Hospital
1-2-23 Wakamizu, Chikusa-ku, Nagoya, 464-0071 JAPAN

Accepted
April 25, 2007

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