Terminal Ileum Perforation Revealing an Enteropathy Associated T-Cell Lymphoma

Case Report

Austin J Surg. 2015;2(5): 1067.

Terminal Ileum Perforation Revealing an Enteropathy Associated T-Cell Lymphoma

Haithem Zaafouri*, Anis Hasnaoui, Mourad Ben Bader, Noomen Haoues and Ahmed Bouhafa

Department of General Surgery, Habib Thameur Hospital, Tunisia

*Corresponding author: Haithem Zaafouri,Department of General Surgery, Habib Thameur Hospital, 8 Ali Ben Ayed Street’s, Monftfleury 1008, Tunis

Received: May 28, 2015; Accepted: July 30, 2015; Published: August 08, 2015

Abstract

Enteropathy Associated T-Cell Lymphoma (EATL) is a rare gastrointestinal non-Hodgkin’s lymphoma. Complications are frequent, especially in type II EATL, such as intestinal obstruction, bleeding, or perforation. We describe in this case a small bowel perforation revealing an EATL.

Keywords: T-cell lymphoma; Enteropathy; Terminal ileum perforation

Introduction

Enteropathy Associated T-Cell Lymphoma (EATL) is a rare gastrointestinal non-Hodgkin’s lymphoma [1,2]. This condition is revealed in a certain number of cases with perforation of the involved bowel, which worsens an already poor prognosis. We describe in this case a small bowel perforation revealing an EATL.

Case Report

A 64-year-old man presented to the emergency room after a sudden onset of abdominal pain. On examination, he had a fever (39°c), rebound tenderness in the right iliac fossa and tenderness in the hypogastrium. The laboratory tests showed leukocytosis (white blood cell count of 16,690/ml) and elevated C-reactive protein (119 mg/l). A CT-scan revealed free intra-peritoneal air with perforation of distal small bowel (Figure 1).

Citation: Zaafouri H, Hasnaoui A, Bader MB, Haoues N and Bouhafa A. Terminal Ileum Perforation Revealing an Enteropathy Associated T-Cell Lymphoma. Austin J Surg. 2015;2(5): 1067. ISSN : 2381-9030