Enteropathy-Associated T Cell Lymphoma Presenting with Acute Abdominal Syndrome: a Case Report and Review of Literature
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- Yang, Y., Batth, S.S., Chen, M. et al. J Gastrointest Surg (2012) 16: 1446. doi:10.1007/s11605-012-1878-6
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Enteropathy-associated T cell lymphoma (EATL) is a rare peripheral non-Hodgkin's T cell lymphoma originating from intraepithelial T lymphocytes of the intestines. In general, this condition has a poor prognosis. A common initial presentation of this cancer which is a small intestinal perforation necessitating emergency surgery is of interest to practicing surgeons. The diagnosis is rarely made prior to pathological examination.
We report a case of a 39-year-old African American man who presented with acute abdomen and was found to have a deep necrotic ulcer of the jejunum during exploratory laparotomy.
Pathological examination and laboratory results demonstrated EATL, type 2, which is not associated with celiac disease. A review of the literature on EATL is also presented.