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Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement
This case describes a 49-year-old man who presented with a several-month history of melena, and unintentional weight loss. Prior esophagogastroduodenoscopy and colonoscopy were unrevealing. Further evaluation with capsule endoscopy showed patchy erythematous mucosa in the jejunum creating suspicion...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339347/ https://www.ncbi.nlm.nih.gov/pubmed/35923677 http://dx.doi.org/10.7759/cureus.26450 |
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author | Kaye, Alexander J Choi, Catherine Wong, Vincent Wang, Weizheng |
author_facet | Kaye, Alexander J Choi, Catherine Wong, Vincent Wang, Weizheng |
author_sort | Kaye, Alexander J |
collection | PubMed |
description | This case describes a 49-year-old man who presented with a several-month history of melena, and unintentional weight loss. Prior esophagogastroduodenoscopy and colonoscopy were unrevealing. Further evaluation with capsule endoscopy showed patchy erythematous mucosa in the jejunum creating suspicion for Crohn’s Disease. Subsequent push enteroscopy found nodular and congested patchy mucosa of jejunum, and stigmata of bleeding in the proximal and mid-jejunum. Repeat colonoscopy showed a diffuse area of erythematous mucosa in the recto-sigmoid colon, and moderately congested mucosa in the ascending colon, but a normal terminal ileum. A small bowel biopsy eventually revealed large B-cell lymphoma. This is one of the first seven reported cases of small bowel lymphoma mimicking Crohn’s Disease and the first to not have any ileal involvement. |
format | Online Article Text |
id | pubmed-9339347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93393472022-08-02 Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement Kaye, Alexander J Choi, Catherine Wong, Vincent Wang, Weizheng Cureus Internal Medicine This case describes a 49-year-old man who presented with a several-month history of melena, and unintentional weight loss. Prior esophagogastroduodenoscopy and colonoscopy were unrevealing. Further evaluation with capsule endoscopy showed patchy erythematous mucosa in the jejunum creating suspicion for Crohn’s Disease. Subsequent push enteroscopy found nodular and congested patchy mucosa of jejunum, and stigmata of bleeding in the proximal and mid-jejunum. Repeat colonoscopy showed a diffuse area of erythematous mucosa in the recto-sigmoid colon, and moderately congested mucosa in the ascending colon, but a normal terminal ileum. A small bowel biopsy eventually revealed large B-cell lymphoma. This is one of the first seven reported cases of small bowel lymphoma mimicking Crohn’s Disease and the first to not have any ileal involvement. Cureus 2022-06-30 /pmc/articles/PMC9339347/ /pubmed/35923677 http://dx.doi.org/10.7759/cureus.26450 Text en Copyright © 2022, Kaye et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Kaye, Alexander J Choi, Catherine Wong, Vincent Wang, Weizheng Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title | Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title_full | Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title_fullStr | Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title_full_unstemmed | Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title_short | Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn’s Disease Without Terminal Ileum Involvement |
title_sort | rare jejunal large b-cell lymphoma mimicking a crohn’s disease without terminal ileum involvement |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339347/ https://www.ncbi.nlm.nih.gov/pubmed/35923677 http://dx.doi.org/10.7759/cureus.26450 |
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