Akut karına sebep olan kolonik lenfoma; Olgu sunumu ve literatür derlemesi

Öz

Primer gastro intestinal sistem (GİS) lenfomaları tüm GİS tümörlerinin yaklaşık %1’ini oluşturmaktadır. Hodgin lenfomada primer GİS tutulumu son derece nadirdir. Bu çalışmada genç yetişkin hastada hızla büyüyen ve akut karın tablosuna sebep olan kolonik lenfoma olgusunu sunmayı amaçladık. 20 yaşında kadın bulantı, kusma ve ishal şikayetleriyle başvurdu. Ultrasonografi incelemesinde sağ alt kadranda kitle ve serbest sıvı görüldü. Tomografide Çekumu içinde alan periçekal 9cm çaplı solid kitle görüldü. Bu bulgular ve klinik değerlendirme sonucunda acil laparotomiye karar verildi. Laparotomide terminal ileum ve çekumu içine almış 10cm çaplı kitle görüldü ve sağ hemikolektomi yapıldı. Sunulan hastanın yaşının genç olması ve şikayetlerinin silik olması nedeniyle 9cm boyutuna ulaşılana kadar tanısı konulamamıştır. Bu tür durumlar ile karşılabileceği akılda tutulmalı ve gereğinde ileri tetkikten kaçınılmamalıdır.

Anahtar Kelimeler

• Hodgkin lenfoma,Akut karın,Kolon tümörü

Colonic lymphoma presented as acute abdomen; A case report and review of literature

Abstract

The primary gastrointestinal tract (GIS) lymphomas constitute approximately 1% of all GIS tumors. Primary gastrointestinal involvement in the humeral lymphoma is extremely rare. In this study, we aimed to present a case of colonic lymphoma that grows rapidly in young adult patients and causes acute abdomen. A 20-year-old woman presented with complaints of nausea, vomiting and diarrhea. Ultrasonography revealed mass and free fluid in the right lower quadrant. A 9cm diameter solid mass was observed in the cecum with tomography. As a result of these findings and clinical evaluation, emergency laparotomy was decided. A 10 cm diameter mass terminal ileum and cecum was seen and right hemicolectomy was performed. Because the age of the presented patient is young and the complaints are faint, no diagnosis has been made until the 9cm size is reached. It should be kept in mind that such situations may be met and further testing should be avoided if necessary.

Keywords

• Hodgkin lymphoma,Acute abdomen,Colon tumor

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