Endoscopic diagnosis of malignant enterocolic fistula caused by ileal lymphoma

Matsumoto, Yu; Matsumoto, Takayuki; Nakamura, Shotaro; Kurahara, Koichi; Mibu, Ryuichi; Yao, Takashi; Fujishima, Masatoshi

doi:10.1016/s0016-5107(00)70465-2

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Of these, four were B-cell lymphoma15-18 and two cases were T-cell lymphoma 9,19. In all six cases, diarrhea was an initial symptom.…”

Section: Discussionmentioning

confidence: 92%

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Chun¹,

Baek²,

Lee³

et al. 2011

Gut Liver

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Malignant fistula of the small bowel to the colon is rare and is most often due to adenocarcinoma. Small bowel lymphoma is unusual, representing less than 1 percent of all gastrointestinal malignancies. We report a case of intestinal lymphoma presenting with diarrhea and abdominal pain. A jejunocolic fistula was discovered during colonoscopy. Celiotomy revealed a large, ulcerated fistula tract between the jejunum and distal transverse colon, and pathology was consistent with peripheral T-cell lymphoma. This is a rare entity in a nonimmunocompromised individual and has not been previously described in Korea.

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“…Of these, four were B-cell lymphoma15-18 and two cases were T-cell lymphoma 9,19. In all six cases, diarrhea was an initial symptom.…”

Section: Discussionmentioning

confidence: 92%

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Chun¹,

Baek²,

Lee³

et al. 2011

Gut Liver

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Case Presentations: Ulcers

Beppu

Yamaguchi

Nakamura

et al. 2013

Endoscopy in the Diagnosis of Small Intestine Diseases

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Jejunocolic fistula presenting as chronic diarrhoea from advanced lymphoma

et al. 2022

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Jejunocolic fistula, a late complication of intestinal lymphoma, is a rare entity with only five reported cases in the literature. We report a young male presenting with a left lateral neck mass 5 years ago which then progressed to superior vena cava syndrome. Despite receiving radiotherapy and two cycles of chemotherapy, there was still tumour progression. He presented with a 2-week history of diarrhoea, haematochezia and weight loss for which antibiotics provided no relief. Esophagogastroduodenoscopy and colonoscopy showed a jejunocolic fistula. After discussion with the multidisciplinary team, nutritional upbuilding was initiated followed by exploratory laparotomy with segmental resection and anastomosis. On histopathology, diffuse large B-cell lymphoma involving the jejunum and colon was noted. Despite receiving palliative chemotherapy, he still succumbed to disease progression. This case highlights the importance of early recognition of jejunocolic fistulas among patients with intestinal lymphomas to facilitate early multidisciplinary intervention.

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Endoscopic diagnosis of malignant enterocolic fistula caused by ileal lymphoma

Cited by 3 publications

References 9 publications

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Jejunocolic Fistula Associated with an Intestinal T Cell Lymphoma

Case Presentations: Ulcers

Jejunocolic fistula presenting as chronic diarrhoea from advanced lymphoma

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