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Lopez-Zamudio J.,Hosp Of Especialidades Del Centro Medico Nacional Of Occidente Instituto Mexicano Del Seguro Social | Ramirez-Gonzalez L.R.,Hosp Of Especialidades Del Centro Medico Nacional Of Occidente Instituto Mexicano Del Seguro Social | Nunez-Marquez J.,Hospital General Regional No 45 Imss | Orozco C.F.,Hospital Of Especialidades Del Centro Medico Nacional Of Occidente Imss | And 2 more authors.
Cirugia y Cirujanos | Year: 2015

Background: Gastric non-Hodgkin lymphoma is a rare tumour that represents approximately 7%of all stomach cancers and 2% of all lymphomas. The most frequent location of gastric MALT(mucosa associated lymphoid tissue) lymphomas is in the antrum in 41% of the cases, and 33%can be multifocal. The risk of spontaneous perforation of a gastric MALT lymphoma is 4-10%.Clinical case: 24 year old male patient carrying the Human Immunodeficiency Virus, who beganwith signs and symptoms of acute abdomen and fever 72 hours before arriving in the emergencyroom. A computed tomography was performed that showed free fluid in the cavity, and gastricwall thickening. The patient underwent a laparotomy, finding absence of the anterior wall ofthe stomach, sealed with the left lobe of the liver, colon and omentum. Total gastrectomy, withoesophagosty and jejunostomy tube, was performed.Conclusions: 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 inorder to provide appropriate treatment for a complication of this type. © 2015 Academia Mexicana de Cirugia A.C. Publicado por Masson Doyma México S.A.


PubMed | Hospital General Regional No 45 Imss, Hospital Of Especialidades Del Centro Medico Nacional Of Occidente Instituto Mexicano Del Seguro Social Imss and Hospital Of Especialidades Del Centro Medico Nacional Of Occidente Imss
Type: Case Reports | Journal: Cirugia y cirujanos | Year: 2015

Gastric non-Hodgkin lymphoma is a rare tumour that represents approximately 7% of all stomach cancers and 2% of all lymphomas. The most frequent location of gastric MALT (mucosa associated lymphoid tissue) lymphomas is in the antrum in 41% of the cases, and 33% can be multifocal. The risk of spontaneous perforation of a gastric MALT lymphoma is 4-10%.24 year old male patient carrying the Human Immunodeficiency Virus, who began with signs and symptoms of acute abdomen and fever 72 hours before arriving in the emergency room. A computed tomography was performed that showed free fluid in the cavity, and gastric wall thickening. The patient underwent a laparotomy, finding absence of the anterior wall of the stomach, sealed with the left lobe of the liver, colon and omentum. Total gastrectomy, with oesophagosty and jejunostomy tube, was performed.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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