PDF(Pubmed)
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.
摘要：
原发性胃肠道非霍奇金淋巴瘤,虽然罕见，通常表现为位于胃或回盲区的弥漫性大B细胞淋巴瘤。出现的症状包括腹痛，消化道出血,减肥,或阻塞性症状。影像学可以显示回肠炎或梗阻。我们报告了一个来自洪都拉斯的男性，患有潜伏性结核病和慢性乙型肝炎，通过临床表现出克罗恩病的特征，放射学,和内镜检查结果，但最终通过组织学诊断为弥漫性大B细胞淋巴瘤。我们强调在评估回肠炎时保持广泛差异的重要性以及组织学采样的重要性。
