Perforación gástrica por linfoma MALT. Reporte de caso

López-Zamudio, José; Ramírez-González, Luis Ricardo; Núñez-Márquez, Julia; Orozco, Clotilde Fuentes; Ojeda, Alejandro González; Leonher-Ruezga, Karla Lisseth

doi:10.1016/j.circir.2015.05.004

Cirugía y Cirujanos

2015

DOI: 10.1016/j.circir.2015.05.004

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Perforación gástrica por linfoma MALT. Reporte de caso

José López-Zamudio

Luis Ricardo Ramírez-González

Julia Núñez-Márquez³

et al.

Abstract: Gastric perforation secondary to a MALT lymphoma is rare, with high mortality. There is limited information reported of this complication and should be highly suspected in order to provide appropriate treatment for a complication of this type.

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2019

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Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report

Chang

Shih

et al. 2019

BMC Pediatr

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Background Primary lymphomas of the gastrointestinal tract are rare, accounting for only 1 to 4% of malignancies arising in the stomach, small intestine, or colon. The stomach is the most common extranodal site of lymphoma and gastric mucosa-associated lymphoid tissue (MALT) lymphoma accounts for 40% of primary gastric lymphoma. Gastric MALT lymphoma reaches its peak incidence between 50 to 60 years of age, therefore, it is rarely encountered in pediatric population. The presenting symptoms of gastric MALT lymphoma are usually nonspecific and primary perforation of gastric MALT lymphoma is uncommon. Case presentation A 12 year-old female presented with iron deficient anemia developed gastric perforation. Emergency laparoscopic repair of the perforation was performed and tissue pathology showed gastric MALT lymphoma infiltration. Helicobacter pylori eradication and radiotherapy were sequentially performed. Complete remission was achieved at two months after radiotherapy. To our best knowledge, she is the youngest patient with gastric MALT lymphoma reported in the literature. Conclusion Iron deficient anemia is a common presenting manifestation of malignancies in adulthood. In pediatric population, iron deficient anemia is usually caused by nutritional deficient or blood loss. In this case report, we present a teenaged female without previous gastric ulcer history who presented with a rare gastric tumor and an uncommon primary perforation. Even if there is an uncertainty about the exact diagnosis prior to the surgery, the strategy of stomach-preserving therapy by laparoscopy for primary perforation was successful and provided a good quality of life. Electronic supplementary material The online version of this article (10.1186/s12887-019-1431-9) contains supplementary material, which is available to authorized users.

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Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report

Chang

Shih

et al. 2019

BMC Pediatr

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show abstract

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Perforación gástrica por linfoma MALT. Reporte de caso

Abstract: Gastric perforation secondary to a MALT lymphoma is rare, with high mortality. There is limited information reported of this complication and should be highly suspected in order to provide appropriate treatment for a complication of this type.

Cited by 1 publication

References 8 publications

Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report

Gastric MALT lymphoma presented with primary perforation in an adolescent: a case report

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