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Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma

We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the du...

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Autores principales: Sriphongphankul, Hansa, Tanpowpong, Pornthep, Ruangwattanapaisarn, Nichanan, Thirapattaraphan, Chollasak, Treepongkaruna, Suporn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856504/
https://www.ncbi.nlm.nih.gov/pubmed/31777723
http://dx.doi.org/10.5223/pghn.2019.22.6.571
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author Sriphongphankul, Hansa
Tanpowpong, Pornthep
Ruangwattanapaisarn, Nichanan
Thirapattaraphan, Chollasak
Treepongkaruna, Suporn
author_facet Sriphongphankul, Hansa
Tanpowpong, Pornthep
Ruangwattanapaisarn, Nichanan
Thirapattaraphan, Chollasak
Treepongkaruna, Suporn
author_sort Sriphongphankul, Hansa
collection PubMed
description We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the duodenal wall, causing partial obstruction. Supportive therapy failed. Repeat CT showed no significant change from the initial study. The patient underwent upper endoscopy, which revealed a mass in the second portion of the duodenum, which occluded most parts of the lumen. The histopathological finding was consistent with an anaplastic large cell lymphoma, a rare form of small bowel neoplasm. After the third course of chemotherapy, complete resolution of the mass was noted, and her symptoms were relieved.
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spelling pubmed-68565042019-11-27 Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma Sriphongphankul, Hansa Tanpowpong, Pornthep Ruangwattanapaisarn, Nichanan Thirapattaraphan, Chollasak Treepongkaruna, Suporn Pediatr Gastroenterol Hepatol Nutr Case Report We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the duodenal wall, causing partial obstruction. Supportive therapy failed. Repeat CT showed no significant change from the initial study. The patient underwent upper endoscopy, which revealed a mass in the second portion of the duodenum, which occluded most parts of the lumen. The histopathological finding was consistent with an anaplastic large cell lymphoma, a rare form of small bowel neoplasm. After the third course of chemotherapy, complete resolution of the mass was noted, and her symptoms were relieved. The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition 2019-11 2019-11-07 /pmc/articles/PMC6856504/ /pubmed/31777723 http://dx.doi.org/10.5223/pghn.2019.22.6.571 Text en Copyright © 2019 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition https://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sriphongphankul, Hansa
Tanpowpong, Pornthep
Ruangwattanapaisarn, Nichanan
Thirapattaraphan, Chollasak
Treepongkaruna, Suporn
Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title_full Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title_fullStr Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title_full_unstemmed Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title_short Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma
title_sort anaplastic large cell lymphoma of the duodenum in a teenage girl: misdiagnosed as an intramural duodenal hematoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856504/
https://www.ncbi.nlm.nih.gov/pubmed/31777723
http://dx.doi.org/10.5223/pghn.2019.22.6.571
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