Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma
Type II enteropathy-associated T-cell lymphoma (Type II EATL) is only rarely reported in Asia, especially in Taiwan and is known to be associated with a high bowel perforation rate. We described a case of Type II EATL with fatal perforation of the small intestine during his first cycle of chemothera...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Medical Sciences |
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| Online Access: | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=3;spage=140;epage=144;aulast=Yeh |
| _version_ | 1828465135315845120 |
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| author | Fu-Chiang Yeh Hong-Wei Gao Sheng-Der Hsu Jia-Hong Chen Woei-Yau Kao |
| author_facet | Fu-Chiang Yeh Hong-Wei Gao Sheng-Der Hsu Jia-Hong Chen Woei-Yau Kao |
| author_sort | Fu-Chiang Yeh |
| collection | DOAJ |
| description | Type II enteropathy-associated T-cell lymphoma (Type II EATL) is only rarely reported in Asia, especially in Taiwan and is known to be associated with a high bowel perforation rate. We described a case of Type II EATL with fatal perforation of the small intestine during his first cycle of chemotherapy. Conventional treatment for enteropathy-associated T-cell lymphoma consists of combination chemotherapy used for aggressive T-cell lymphoma (e.g., cyclophosphamide, adriamycin, vincristine, prednisone). Perforation of intestine often occurs at the time of diagnosis or in the early days of the first cycle of chemotherapy in these patients. To rescue and treat patient promptly, intestinal perforation should always be kept in mind as a differential diagnosis of acute abdominal pain in these patients. This case report highlights the potential pitfall in managing patients with gastrointestinal lymphoma and the need for maintaining a low threshold for prechemotherapy surgical intervention in patients diagnosed with type II EATL. |
| first_indexed | 2024-12-11T03:26:10Z |
| format | Article |
| id | doaj.art-ce09052434d44fe8a89ad3d4a48b8298 |
| institution | Directory Open Access Journal |
| issn | 1011-4564 |
| language | English |
| last_indexed | 2024-12-11T03:26:10Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj.art-ce09052434d44fe8a89ad3d4a48b82982022-12-22T01:22:30ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642014-01-0134314014410.4103/1011-4564.134416Intestinal perforation complicating type II enteropathy-associated T-cell lymphomaFu-Chiang YehHong-Wei GaoSheng-Der HsuJia-Hong ChenWoei-Yau KaoType II enteropathy-associated T-cell lymphoma (Type II EATL) is only rarely reported in Asia, especially in Taiwan and is known to be associated with a high bowel perforation rate. We described a case of Type II EATL with fatal perforation of the small intestine during his first cycle of chemotherapy. Conventional treatment for enteropathy-associated T-cell lymphoma consists of combination chemotherapy used for aggressive T-cell lymphoma (e.g., cyclophosphamide, adriamycin, vincristine, prednisone). Perforation of intestine often occurs at the time of diagnosis or in the early days of the first cycle of chemotherapy in these patients. To rescue and treat patient promptly, intestinal perforation should always be kept in mind as a differential diagnosis of acute abdominal pain in these patients. This case report highlights the potential pitfall in managing patients with gastrointestinal lymphoma and the need for maintaining a low threshold for prechemotherapy surgical intervention in patients diagnosed with type II EATL.http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=3;spage=140;epage=144;aulast=YehT-cell lymphomaenteropathyintestinal perforation |
| spellingShingle | Fu-Chiang Yeh Hong-Wei Gao Sheng-Der Hsu Jia-Hong Chen Woei-Yau Kao Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma Journal of Medical Sciences T-cell lymphoma enteropathy intestinal perforation |
| title | Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma |
| title_full | Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma |
| title_fullStr | Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma |
| title_full_unstemmed | Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma |
| title_short | Intestinal perforation complicating type II enteropathy-associated T-cell lymphoma |
| title_sort | intestinal perforation complicating type ii enteropathy associated t cell lymphoma |
| topic | T-cell lymphoma enteropathy intestinal perforation |
| url | http://jms.ndmctsgh.edu.tw/article.asp?issn=1011-4564;year=2014;volume=34;issue=3;spage=140;epage=144;aulast=Yeh |
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