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A Case of Small Bowel Diffuse Large B-cell Lymphoma Mimicking Crohn's Disease / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 241-245, 2015.
Article in Korean | WPRIM | ID: wpr-194204
ABSTRACT
A 66-year-old male with dyspepsia and weight loss was referred to our hospital for evaluation. On laboratory examination, anti-saccharomyces cerevisiae (ASCA)-IgA was positive and iron deficiency anemia was present. PET/CT and abdominal CT scan images showed multiple small bowel segmental wall thickening and inflammation. Capsule endoscopy images showed multiple small bowel ulcerative lesions with exudates. Based on laboratory test results and imaging studies, the patient was diagnosed with Crohn's disease and treated with prednisolone and 5-aminosalicylic acid (5-ASA). However, the patient underwent second operation due to small bowel perforation within 2 month after initiation of treatment. Pathology report of the resected specimen was compatible to primary small bowel diffuse large B cell lymphoma and pertinent treatment was given to the patient after recovery. Herein, we describe a case of primary small bowel diffuse large B cell lymphoma that was mistaken for Crohn's disease.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Saccharomyces cerevisiae / Immunoglobulin A / Antineoplastic Combined Chemotherapy Protocols / Crohn Disease / Tomography, X-Ray Computed / Lymphoma, Large B-Cell, Diffuse / Mesalamine / Positron-Emission Tomography / Diagnostic Errors / Capsule Endoscopy Type of study: Diagnostic study Limits: Aged / Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Saccharomyces cerevisiae / Immunoglobulin A / Antineoplastic Combined Chemotherapy Protocols / Crohn Disease / Tomography, X-Ray Computed / Lymphoma, Large B-Cell, Diffuse / Mesalamine / Positron-Emission Tomography / Diagnostic Errors / Capsule Endoscopy Type of study: Diagnostic study Limits: Aged / Humans / Male Language: Korean Journal: The Korean Journal of Gastroenterology Year: 2015 Type: Article