Rapidly growing small bowel lymphoma

Case contributed by Dr Chris O'Donnell

Presentation

Young man with abdominal pain and weight loss. Presented 4 days later with vomiting. Normal laparoscopy 3 months ago.

Patient Data

Age: 20
Gender: Male
CT

CT on second presentation

Large right iliac fossa mass intimately related to and obstructing the distal ileum (arrow) with extrinsic compression of the caecum and ascending colon (arrow).  Note ascites and nodularity in the peritoneum, suggestive of peritoneal infiltration.

CT

CT performed 4 days previously

Scan 4 days prior showed the same mass albeit a little smaller and not obstructing the small bowel!

Case Discussion

There are very few tumours that grow at such a rapid pace - lymphoma is the most likely.  This growth means that cell turnover is rapid, thus medical treatment is often very effective.

PlayAdd to Share

Case information

rID: 29612
Case created: 9th Jun 2014
Last edited: 22nd Feb 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.