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Distal Ileitis Caused by Diffuse Large B-Cell Lymphoma in an Elderly Patient From Honduras. | LitMetric

AI Article Synopsis

  • Primary gastrointestinal non-Hodgkin lymphoma is predominantly seen as diffuse large B-cell lymphoma, typically found in the stomach or ileocecal area, with symptoms like abdominal pain, bleeding, and weight loss.
  • A case study highlights a man from Honduras who had latent tuberculosis and chronic hepatitis B, initially presenting symptoms that mimicked Crohn's disease but was later diagnosed with lymphoma through histological analysis.
  • The report stresses the necessity of considering various diagnoses for ileitis and the critical role of histologic sampling in accurate diagnosis.

Article Abstract

Primary gastrointestinal non-Hodgkin lymphoma, while rare, most often presents as diffuse large B-cell lymphoma located in the stomach or ileocecal region. Presenting symptoms include abdominal pain, gastrointestinal bleeding, weight loss, or obstructive symptoms. Imaging can reveal ileitis or obstruction. We report a case of a man from Honduras with latent tuberculosis and chronic hepatitis B who presented with features of Crohn's disease through clinical, radiologic, and endoscopic findings but was ultimately diagnosed with diffuse large B-cell lymphoma by histology. We emphasize the importance of maintaining a broad differential for ileitis and the importance of histologic sampling when evaluating ileitis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177813PMC
http://dx.doi.org/10.14309/crj.0000000000001356DOI Listing

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