November 12, 2014
Notes: Qin, Yueqiu
Research Support, Non-U.S. Gov’t
Dig Dis Sci. 2013 Nov;58(11):3300-7. doi: 10.1007/s10620-013-2793-8. Epub 2013 Jul 17.
Author Address: The First Clinical Medical College of Jinan University, Guangzhou, 510630, Guangdong Province, China.
Reference Type: Journal Article
Record Number: 5106Author: Raj, M., Ghoshal, U. C., Choudhuri, G. and Mohindra, S.
Title: Primary Gastric Lymphoma Presenting as Acute Pancreatitis: A Case Report
Short Title: Primary Gastric Lymphoma Presenting as Acute Pancreatitis: A Case Report
Alternate Journal: JOP : Journal of the pancreas
ISSN: 1590-8577 (Electronic)
Accession Number: 23846949
Keywords: Abdominal Pain/etiology/prevention & control
Antineoplastic Combined Chemotherapy Protocols/therapeutic use
Lymphoma, Large B-Cell, Diffuse/complications/*diagnosis/drug therapy
Pancreatitis/*diagnosis/etiology/prevention & control
Stomach Neoplasms/complications/*diagnosis/drug therapy
Abstract: CONTEXT: Diffuse large B-cell lymphoma is the commonest form of non-Hodgkin lymphoma. Gastro-intestinal tract and bone marrow are common extra-nodal sites of lymphomatous involvement. CASE REPORT: A 54-year-old woman presented with acute onset epigastric pain. On evaluation, raised serum amylase and radiological features of acute pancreatitis were detected. Gastroscopy revealed thickened folds in distal stomach, which on histopathology revealed large B-cell lymphoma. Subsequently, the patient developed extra-hepatic biliary obstruction due to peripancreatic lymph nodal mass that was relieved with plastic biliary stenting. Subsequent chemotherapy regime directed against lymphoma led to resolution of lymphoma. CONCLUSION: In this patient , pancreatitis was the initial presentation of primary gastric lymphoma, which has not been commonly reported and therefore should be considered in the etiological workup.