Urgent Multivisceral Resection due to Perforated Primary Gastric Lymphoma

Abstract

Background: Multivisceral resection is feasible option for advanced gastric cancer and is indicated, when radical resection with curative intent can be achieved. It is not the best option for palliative treatment, because it has many possible complications. Case Report: We report a case of a 38-year-old male patient, referred with radiologic signs of pneumo-peritoneum and large gastric tumor with suspected perforation. Abdominal computed tomography showed pneumo-peritoneum and gastric tumor mass with suspected perforation. Distal subtotal gastrectomy with lymp node dissection, distal subtotal pancreatectomy and segmental resection of colon transversum with end to end colo-colic anastomosis was performed. Histopathological examination revealed a large B-cell lymphoma, diffuse type, with high proliferative index Ki-67 (nearly 100%). Conclusion: Multivisceral resection is a feasible option in cases of perforated primary gastric lymphoma, especially when radical resection can be achieved.