A Case of AIDS Complicated Perforation of Small Intestinal Malignant Lymphoma

Hirochika Makino, Masazumi Takahashi, Kazuhisa Takeda, Mitsuyoshi Ota, Eisyu Kanemura, Kunio Hashimoto, Kazutaka Koganei, Akira Ishiyama, Fumihiko Kito and Tsuneo Fukushima

Department of Surgery, Yokohama Munincipal Citizen's Hospital

A 32 years old male patient with AIDS complicated with perforation of small bowel malignant lymphoma, which was successfully treated by emergency surgery, is reported. He was diagnosed as AIDS, with a history of Candida esophagitis and an esophageal ulcer, on September 1996, and had been treated with antiretroviral drugs. On December 1998, he had been received radiation to right maxillary lymphoma. On September 1999 pulmonary, bone, and intraperitoneal metastases were recognized and CT scan revealed an intraabdominal mass sized 6×3 cm involving the small bowel. He noted sudden onset of abdominal pain on March 2, 2000, and was transferred to the department of surgery with the diagnosis of perforation of the intestinal tract. Perforation of malignant lymphoma of the jejunum and a total of 7 masses on small intestine were recognized during emergency surgery. Partial resection of the ileum and jejunum including the perforated segment, drainage, and jejunostomy were performed. Pathologically the tumor was non Hodgkin's lymphoma, B cell type. The postoperative course was uneventful, but he was died of malignant lymphoma on 143 days after the surgery.

Key words
AIDS, intestinal perforation, malignant, lymphoma

Reprint requests
Hirochika Makino Department of Surgery, Yokohama Municipal Citizen's Hospital 56 Okazawa-cho, Hodogaya-ku, Yokohama, 240-8555 JAPAN

Accepted
March 28, 2001

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