Malignant lymphoma incidentally diagnosed due to the perforation of the small intestine caused by a fish bone: A case report
Identifieur interne : 007259 ( Ncbi/Merge ); précédent : 007258; suivant : 007260Malignant lymphoma incidentally diagnosed due to the perforation of the small intestine caused by a fish bone: A case report
Auteurs : Masatsugu Hiraki [Japon] ; Atsushi Miyoshi [Japon] ; Go Anegawa [Japon] ; Hiroshi Kubo [Japon] ; Osamu Ikeda [Japon] ; Keiichi Ohira [Japon] ; Shinya Azama [Japon] ; Shinichi Kido [Japon] ; Daisuke Mori [Japon] ; Hitoshi Aibe [Japon] ; Toshiya Tanaka [Japon] ; Kenji Kitahara [Japon] ; Seiji Sato [Japon]Source :
- International Journal of Surgery Case Reports [ 2210-2612 ] ; 2017.
Abstract
Perforation due to an ingested foreign body can occur at some point of physiological narrowing or angulation of the intestinal lumen, such as the ileocecal and rectosigmoid junctions. We experienced an unusual case of malignant lymphoma incidentally diagnosed after perforation of the jejunum by a fish bone. In cases of perforation of the jejunum with an ingested foreign body, careful observation during the surgery may be needed in order to avoid missing the accompanying malignancy.
Url:
DOI: 10.1016/j.ijscr.2017.10.042
PubMed: 29096353
PubMed Central: 5686217
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Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Kitahara, Kenji" sort="Kitahara, Kenji" uniqKey="Kitahara K" first="Kenji" last="Kitahara">Kenji Kitahara</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Sato, Seiji" sort="Sato, Seiji" uniqKey="Sato S" first="Seiji" last="Sato">Seiji Sato</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center 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incidentally diagnosed due to the perforation of the small intestine caused by a fish bone: A case report</title><author><name sortKey="Hiraki, Masatsugu" sort="Hiraki, Masatsugu" uniqKey="Hiraki M" first="Masatsugu" last="Hiraki">Masatsugu Hiraki</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Miyoshi, Atsushi" sort="Miyoshi, Atsushi" uniqKey="Miyoshi A" first="Atsushi" last="Miyoshi">Atsushi Miyoshi</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Anegawa, Go" sort="Anegawa, Go" uniqKey="Anegawa G" first="Go" last="Anegawa">Go Anegawa</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Kubo, Hiroshi" sort="Kubo, Hiroshi" uniqKey="Kubo H" first="Hiroshi" last="Kubo">Hiroshi Kubo</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Ikeda, Osamu" sort="Ikeda, Osamu" uniqKey="Ikeda O" first="Osamu" last="Ikeda">Osamu Ikeda</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Ohira, Keiichi" sort="Ohira, Keiichi" uniqKey="Ohira K" first="Keiichi" last="Ohira">Keiichi Ohira</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Radiology, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Radiology, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Azama, Shinya" sort="Azama, Shinya" uniqKey="Azama S" first="Shinya" last="Azama">Shinya Azama</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Radiology, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Radiology, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Kido, Shinichi" sort="Kido, Shinichi" uniqKey="Kido S" first="Shinichi" last="Kido">Shinichi Kido</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Department of Pathology, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pathology, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Mori, Daisuke" sort="Mori, Daisuke" uniqKey="Mori D" first="Daisuke" last="Mori">Daisuke Mori</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Department of Pathology, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Pathology, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Aibe, Hitoshi" sort="Aibe, Hitoshi" uniqKey="Aibe H" first="Hitoshi" last="Aibe">Hitoshi Aibe</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Radiology, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Radiology, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Tanaka, Toshiya" sort="Tanaka, Toshiya" uniqKey="Tanaka T" first="Toshiya" last="Tanaka">Toshiya Tanaka</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Kitahara, Kenji" sort="Kitahara, Kenji" uniqKey="Kitahara K" first="Kenji" last="Kitahara">Kenji Kitahara</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author><author><name sortKey="Sato, Seiji" sort="Sato, Seiji" uniqKey="Sato S" first="Seiji" last="Sato">Seiji Sato</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Saga Medical Center Koseikan, Saga</wicri:regionArea><wicri:noRegion>Saga</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Surgery Case Reports</title><idno type="eISSN">2210-2612</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Perforation due to an ingested foreign body can occur at some point of physiological narrowing or angulation of the intestinal lumen, such as the ileocecal and rectosigmoid junctions.</p></list-item><list-item id="lsti0010"><label>•</label><p>We experienced an unusual case of malignant lymphoma incidentally diagnosed after perforation of the jejunum by a fish bone.</p></list-item><list-item id="lsti0015"><label>•</label><p>In cases of perforation of the jejunum with an ingested foreign body, careful observation during the surgery may be needed in order to avoid missing the accompanying malignancy.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Geraci, G" uniqKey="Geraci G">G. 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Schnepp</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Surg Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">Int J Surg Case Rep</journal-id><journal-title-group><journal-title>International Journal of Surgery Case Reports</journal-title></journal-title-group><issn pub-type="epub">2210-2612</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29096353</article-id><article-id pub-id-type="pmc">5686217</article-id><article-id pub-id-type="publisher-id">S2210-2612(17)30550-3</article-id><article-id pub-id-type="doi">10.1016/j.ijscr.2017.10.042</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Malignant lymphoma incidentally diagnosed due to the perforation of the small intestine caused by a fish bone: A case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hiraki</surname><given-names>Masatsugu</given-names></name><email>masatsuguhiraki@hotmail.com</email><xref rid="aff0005" ref-type="aff">a</xref><xref rid="cor0005" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Miyoshi</surname><given-names>Atsushi</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Anegawa</surname><given-names>Go</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Kubo</surname><given-names>Hiroshi</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Ikeda</surname><given-names>Osamu</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Ohira</surname><given-names>Keiichi</given-names></name><xref rid="aff0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Azama</surname><given-names>Shinya</given-names></name><xref rid="aff0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Kido</surname><given-names>Shinichi</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Mori</surname><given-names>Daisuke</given-names></name><xref rid="aff0015" ref-type="aff">c</xref></contrib><contrib contrib-type="author"><name><surname>Aibe</surname><given-names>Hitoshi</given-names></name><xref rid="aff0010" ref-type="aff">b</xref></contrib><contrib contrib-type="author"><name><surname>Tanaka</surname><given-names>Toshiya</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Kitahara</surname><given-names>Kenji</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib><contrib contrib-type="author"><name><surname>Sato</surname><given-names>Seiji</given-names></name><xref rid="aff0005" ref-type="aff">a</xref></contrib></contrib-group><aff id="aff0005"><label>a</label>Department of Surgery, Saga Medical Center Koseikan, Saga, Japan</aff><aff id="aff0010"><label>b</label>Department of Radiology, Saga Medical Center Koseikan, Saga, Japan</aff><aff id="aff0015"><label>c</label>Department of Pathology, Saga Medical Center Koseikan, Saga, Japan</aff><author-notes><corresp id="cor0005"><label>⁎</label>Corresponding author at: Department of Surgery, Saga Medical Center Koseikan, Address: 400 Nakabaru, Kasemachi, Saga City, Saga, 849-8571, Japan.Department of SurgerySaga Medical Center KoseikanSagaJapan <email>masatsuguhiraki@hotmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>26</day><month>10</month><year>2017</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>26</day><month>10</month><year>2017</year></pub-date><volume>41</volume><fpage>238</fpage><lpage>242</lpage><history><date date-type="received"><day>10</day><month>9</month><year>2017</year></date><date date-type="accepted"><day>24</day><month>10</month><year>2017</year></date></history><permissions><copyright-statement>© 2017 The Authors</copyright-statement><copyright-year>2017</copyright-year><license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p></license></permissions><abstract abstract-type="author-highlights" id="abs0005"><title>Highlights</title><p><list list-type="simple"><list-item id="lsti0005"><label>•</label><p>Perforation due to an ingested foreign body can occur at some point of physiological narrowing or angulation of the intestinal lumen, such as the ileocecal and rectosigmoid junctions.</p></list-item><list-item id="lsti0010"><label>•</label><p>We experienced an unusual case of malignant lymphoma incidentally diagnosed after perforation of the jejunum by a fish bone.</p></list-item><list-item id="lsti0015"><label>•</label><p>In cases of perforation of the jejunum with an ingested foreign body, careful observation during the surgery may be needed in order to avoid missing the accompanying malignancy.</p></list-item></list></p></abstract><abstract id="abs0010"><sec><title>Introduction</title><p>The ingestion of a foreign body is relatively common. However, it rarely results in the perforation of gastrointestinal tract. We herein report an unusual case of malignant lymphoma incidentally diagnosed after the perforation of the small intestine by a fish bone.</p></sec><sec><title>Presentation of case</title><p>A 90-year-old woman was admitted to our hospital because of abdominal pain and vomiting. Abdominal computed tomography demonstrated free air and ascites in the abdominal cavity. In the pelvic cavity, a radiopaque linear shadow about 35 mm in diameter was shown in the small intestine, and the stricture was exposed to the abdominal cavity. Therefore, a diagnosis of perforation of the small intestine due to ingestion of a foreign body and panperitonitis was made. Emergent laparotomy was performed. The intraoperative findings revealed perforation of the small intestine with a fish bone in the jejunum. Local inflammation at the perforation site was seen, and circulated wall thickness was observed at the distal side of the jejunum. Partial resection of the jejunum and anastomosis of jejuno-jejunostomy was performed. A pathological examination and immunohistochemical study of the resected specimen resulted in a diagnosis of malignant lymphoma of follicular lymphoma Grade 1.</p></sec><sec><title>Discussion</title><p>It is very difficult to identify the existence malignancy accompanied with gastrointestinal perforation with ingestion of a foreign body.</p></sec><sec><title>Conclusion</title><p>In cases suspected of involving malignancy, careful observation during surgery is needed in order to avoid missing the accompanying malignancy.</p></sec></abstract><kwd-group id="kwd0005"><title>Keywords</title><kwd>Fish bone</kwd><kwd>Perforation</kwd><kwd>Small intestine</kwd><kwd>Malignant lymphoma</kwd><kwd>Foreign body</kwd><kwd>Ingestion</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Hiraki, Masatsugu" sort="Hiraki, Masatsugu" uniqKey="Hiraki M" first="Masatsugu" last="Hiraki">Masatsugu Hiraki</name></noRegion><name sortKey="Aibe, Hitoshi" sort="Aibe, Hitoshi" uniqKey="Aibe H" first="Hitoshi" last="Aibe">Hitoshi Aibe</name><name sortKey="Anegawa, Go" sort="Anegawa, Go" uniqKey="Anegawa G" first="Go" last="Anegawa">Go Anegawa</name><name sortKey="Azama, Shinya" sort="Azama, Shinya" uniqKey="Azama S" first="Shinya" last="Azama">Shinya Azama</name><name sortKey="Ikeda, Osamu" sort="Ikeda, Osamu" uniqKey="Ikeda O" first="Osamu" last="Ikeda">Osamu Ikeda</name><name sortKey="Kido, Shinichi" sort="Kido, Shinichi" uniqKey="Kido S" first="Shinichi" last="Kido">Shinichi Kido</name><name sortKey="Kitahara, Kenji" sort="Kitahara, Kenji" uniqKey="Kitahara K" first="Kenji" last="Kitahara">Kenji Kitahara</name><name sortKey="Kubo, Hiroshi" sort="Kubo, Hiroshi" uniqKey="Kubo H" first="Hiroshi" last="Kubo">Hiroshi Kubo</name><name sortKey="Miyoshi, Atsushi" sort="Miyoshi, Atsushi" uniqKey="Miyoshi A" first="Atsushi" last="Miyoshi">Atsushi Miyoshi</name><name sortKey="Mori, Daisuke" sort="Mori, Daisuke" uniqKey="Mori D" first="Daisuke" last="Mori">Daisuke Mori</name><name sortKey="Ohira, Keiichi" sort="Ohira, Keiichi" uniqKey="Ohira K" first="Keiichi" last="Ohira">Keiichi Ohira</name><name sortKey="Sato, Seiji" sort="Sato, Seiji" uniqKey="Sato S" first="Seiji" last="Sato">Seiji Sato</name><name sortKey="Tanaka, Toshiya" sort="Tanaka, Toshiya" uniqKey="Tanaka T" first="Toshiya" last="Tanaka">Toshiya Tanaka</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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