A Case of Primary Malignant T-cell Lymphoma of the Small Intestine Presented with Intussusception

Satoshi Inose, Shuji Suzuki, Nobuhiko Harada, Seiichi Tanaka, Tsuneo Hayashi, Mamoru Suzuki and Fujio Hanyu

Department of Surgery, Hachiouji Digestive Desease Hospital

An 81-year-old women with abdominal pain and vomiting was suspected in abdominal CT to have small bowel obstruction associated with intussusception. Insertion of an ileus tube did not alleviate symptoms. Five days later, the patient was admitted to our hospital. An ileus tube contrast study showed a tapering occlusion of the jejunum, diagnosed as intussusception associated with a jejunal tumor, necessitating surgery. Laparotomy showed a 60-cm intussusception of the jejunum, 80 cm distal from the ligament of Treitz with the jejunal tumor as its front edge. We palpated 5 tumors in the jejunum and 3 more in the terminal ileum, necessitating partial jejunal and ileal resection including tumors. Histopathologically, the diagnosis was malignant T-cell lymphoma. The patient's postoperative course was favorable, and she was discharged on postoperative day 20, but died 5 months after surgery due to an aggravated general condition associated with recurrence in the intraabdominal lymph nodes.

Key words
malignant lymphoma of the small intestine, T-cell, intussusception

Reprint requests
Satoshi Inose Department of Surgery, Hachiouji Digestive Desease Hospital
177-3 Yorozucho, Hachiouji, 192-0903 JAPAN

Accepted
November 28, 2007

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