Year 2023 / Volume 115 / Number 4
Letter
Visible intestinal peristalsis and chronic diarrhea due to a rare lymphoproliferative disease

200-201

DOI: 10.17235/reed.2022.9042/2022

Guilherme Rossi Assis-Mendoça, Rosival Vicente de Paula, Fernanda Marconi Roversi, Maura Lima Bueno, Ana Caroline Ferreira da Silva, Ciro Garcia Montes, José Vassallo, Marlone Cunha-Silva,

Abstract
We present the case of a 45-year-old man with watery diarrhea for 2 years, leading to marked weight loss (52 kg). On admission, the patient presented with pallor, dehydration and cachexia. Abdominal examination revealed increased bowel sounds, painful and visible intestinal peristalsis, suggesting intestinal obstruction. There was no response to a gluten-free diet and nutritional support. Finally, the patient developed pulmonary infection, septic shock and died 3 months after admission. The diagnosis of CD4+/CD8+ indolent T-cell lymphoma of the GI tract was made post-mortem.
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References
(1) Alaggio R, Amador C, Anagnostopoulos I, et al. The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours: Lymphoid Neoplasms. Leukemia. 2022 Jul;36(7):1720-1748.
(2) van Vliet C, Spagnolo D V. T- and NK-cell lymphoproliferative disorders of the gastrointestinal tract: review and update. Pathology. 2020;52(1):128–41.
(3) Leventaki V, Manning Jr JT, Luthra R, et al. Indolent peripheral T-cell lymphoma involving the gastrointestinal tract. Hum Pathol. 2014; 45(2):421-426.
(4) Matnani R, Ganapathi KA, Lewis SK, et al. Indolent T- and NK-cell lymphoproliferative disorders of the gastrointestinal tract: A review and update. Hematol Oncol. 2017; 35(1):3-16.
(5) Sanguedolce F, Zanelli M, Zizzo M, et al. Indolent T-cell Lymphoproliferative Disorders of the Gastrointestinal Tract (iTLPD-GI): A Review. Cancer. 2021; 13: 2790.
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Citation tools
Assis-Mendoça G, Paula R, Roversi F, Bueno M, Silva A, Montes C, et all. Visible intestinal peristalsis and chronic diarrhea due to a rare lymphoproliferative disease. 9042/2022


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Publication history

Received: 28/06/2022

Accepted: 15/07/2022

Online First: 28/07/2022

Published: 03/04/2023

Article Online First time: 30 days

Article editing time: 279 days


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