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Báo cáo y học: " Mucosa associated lymphoid tissue lymphoma presenting within a solitary anti-mesenteric dilated segment of ileum: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Mucosa associated lymphoid tissue lymphoma presenting within a solitary anti-mesenteric dilated segment of ileum: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Mucosa associated lymphoid tissue lymphoma presenting within a solitary anti-mesenteric dilated segment of ileum a case report Rowland Storey Marcel Gatt and Ian Bradford Address Department of General Surgery York Hospital Wigginton Road York YO31 8HE UK Email Rowland Storey - rowland_storey@yahoo.co.uk Marcel Gatt-marcelgatt@gmail.com Ian Bradford - ian.bradford@york.nhs.uk Corresponding author Published 6 January 2009 Received 8 April 2008 Journal of Medical Case Reports 2009 3 6 doi 10.1186 1752-1947-3-6 Accepted 6 January 2009 This article is available from http www.jmedicalcasereports.cOm content 3 1 6 2009 Storey et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Mucosa associated lymphoid tissue MALT lymphoma is the third most common non-Hodgkin s lymphoma subtype. Clinical presentation is often insidious as a low-grade lesion and disease tends to remain localised for a long period of time. Ileal involvement is rare and presentation within an area of focal anti-mesenteric ileal wall dilation simulating a large diverticulum has not been reported. Case presentation A 59-year-old man of Caucasian origin presented to a general surgical outpatients clinic with an 18-month history of intermittent upper abdominal pain following meals. Following normal gastroscopy and abdominal ultrasound a focally dilated segment of ileum was seen on computed tomography and further clarified by barium investigation. Histology of this segment demonstrated MALT lymphoma of the small bowel. Conclusion A solitary focally dilated segment of ileal wall may be neoplastic in nature and surgical resection needs to be considered. Introduction Mucosa .