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Cir Cir. 2015 May-Jun;83(3):217-21. doi: 10.1016/j.circir.2015.05.004. Epub 2015 Jun 6.

[Gastric perforation by MALT lymphoma. Case report].

[Article in Spanish]

Author information

1
Unidad Médica de Alta Especialidad, Departamento de Cirugía General, Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México.
2
Departamento de Patología, Hospital General Regional No. 45. IMSS, Guadalajara, Jalisco, México.
3
Unidad de Investigación en Epidemiología Clínica, Hospital de Especialidades del Centro Médico Nacional de Occidente IMSS, Guadalajara, Jalisco, México.
4
Unidad Médica de Alta Especialidad, Departamento de Cirugía General, Hospital de Especialidades del Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México. Electronic address: karlaleonher@gmail.com.

Abstract

BACKGROUND:

Gastric non-Hodgkin lymphoma is a rare tumour that represents approximately 7% of all stomach cancers and 2% of all lymphomas. The most frequent location of gastric MALT (mucosa associated lymphoid tissue) lymphomas is in the antrum in 41% of the cases, and 33% can be multifocal. The risk of spontaneous perforation of a gastric MALT lymphoma is 4-10%.

CLINICAL CASE:

24 year old male patient carrying the Human Immunodeficiency Virus, who began with signs and symptoms of acute abdomen and fever 72 hours before arriving in the emergency room. A computed tomography was performed that showed free fluid in the cavity, and gastric wall thickening. The patient underwent a laparotomy, finding absence of the anterior wall of the stomach, sealed with the left lobe of the liver, colon and omentum. Total gastrectomy, with oesophagosty and jejunostomy tube, was performed.

CONCLUSIONS:

Gastric perforation secondary to a MALT lymphoma is rare, with high mortality. There is limited information reported of this complication and should be highly suspected in order to provide appropriate treatment for a complication of this type.

KEYWORDS:

Gastric lymphoma; Gastric neoplasms; Linfoma gástrico; Mucosa associated lymphoid tissue lymphoma; Tumor de tejido linfoide asociado a mucosas; Tumor gástrico

PMID:
26055282
DOI:
10.1016/j.circir.2015.05.004
[Indexed for MEDLINE]
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