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- W2185370375 abstract "Primary malignant tumors of the small intestine are rare and correspond to less than 2% of all tumors of the alimentary canal. The gastrointestinal tract is the most common location of extranodal lymphomas, affecting the small intestine in only 9% of the cases. Its manifestation through free perforation is uncommon. The objective of this report is the description of a patient bearer of a lymphoma of the perforated small intestine, with discussion of clinical presentation, diagnosis, complications and treatment. T.G.B. 66 years of age, experienced symptoms of colic-type abdominal pain of six months, with worsening in the last 30 days due to uncontrollable vomiting. Weight loss during the period was approximately 10 kg. Alterations of intestinal habit were denied. Patient was bearer of celiac disease with symptoms compensated by diet. After image exams, patient was submitted to segmentary resection of the small intestine for lymphoma, with associated obstruction and good intestinal recovery. Adjuvant chemotherapy made with good evolution. After one year, patient entered in the emergency service with acute abdominal perforation. Patient was submitted to a new laparotomy that demonstrated a recurrence of the lymphoma in the proximal jejunum, with free perforation in the cavity. A segmentary enterectomy was made with good evolution. Bone marrow transplant was proposed but not done. Rescue chemotherapy was made with death after 6 months. Obstruction and perforation secondary of small intestine lymphomas are rare. The survival after resections for perforation is poor. Most patients that recover from the surgery have less than eight months of survival in agreement with the literature." @default.
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- W2185370375 date "2009-01-01" @default.
- W2185370375 modified "2023-09-27" @default.
- W2185370375 title "Lymphoma of the Small Intestine: Case Report" @default.
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