Perforated Voluminous Duodenal Burkitt Lymphoma Causing Severe Peritonitis: A Case Report

Aymane Jbilou, Younes Aggouri, A. Ahallat, S. Aitlaalim
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Abstract

The management of duodenal malignant lymphoma presents challenges due to the presence of serious complications like obstruction, pancreatitis, and perforation. As a result, a combination of surgical measures and interdisciplinary procedures is necessary. We report a case of a 44 years old man suffering from abdominal pain and vomiting. CT images showed a voluminous intraperitoneal perforated tumour. Intra operative exploration showed that the origin of the tumour is duodenum, a resection was performed. Patient died few hours after surgery. Histological and immunohistochemical findings confirmed the diagnostic of burkitt lymphoma. The primary treatment for gastrointestinal lymphomas remains chemotherapy, but in cases of duodenal lymphoma, a significant number of patients need surgery due to complicated presentations.
十二指肠孔洞性伯基特淋巴瘤致严重腹膜炎1例
由于存在严重的并发症,如梗阻、胰腺炎和穿孔,十二指肠恶性淋巴瘤的治疗提出了挑战。因此,外科措施和跨学科程序的结合是必要的。我们报告一例44岁的男性腹痛和呕吐。CT图像显示一巨大的腹膜内穿孔肿瘤。术中探查发现肿瘤起源于十二指肠,行手术切除。病人在手术后几小时死亡。组织学和免疫组织化学结果证实了伯基特淋巴瘤的诊断。胃肠道淋巴瘤的主要治疗方法仍然是化疗,但在十二指肠淋巴瘤的病例中,由于复杂的表现,相当多的患者需要手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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