Enteropathy-Type Intestinal T-Cell Lymphoma Showing Jejunoileal Fistula: Report of a Case

Fuminao TAKESHIMA; Keita INOUE; Yoichi TATSUTA; Koichiro KADOTA; Terumitsu SAWAI; Takeshi TSUCHIYA; Kunihiro TSUKASAKI; Kuniko ABE; Sumako YOSHIOKA; Seiko NAKAYAMA; Koh ABE; Yohei MIZUTA; Shigeru KOHNO; Yoshiyuki OZONO

doi:10.11343/amn.54.25

CASE REPORT

Enteropathy-Type Intestinal T-Cell Lymphoma Showing Jejunoileal Fistula: Report of a Case

Fuminao TAKESHIMA, Keita INOUE, Yoichi TATSUTA, Koichiro KADOTA, Terumitsu SAWAI, Takeshi TSUCHIYA, Kunihiro TSUKASAKI, Kuniko ABE, Sumako YOSHIOKA, Seiko NAKAYAMA, Koh ABE, Yohei MIZUTA, Shigeru KOHNO, Yoshiyuki OZONO

Author information

Fuminao TAKESHIMA
Department of General Medicine, Nagasaki University School of Medicine
Keita INOUE
Department of General Medicine, Nagasaki University School of Medicine
Yoichi TATSUTA
Department of General Medicine, Nagasaki University School of Medicine
Koichiro KADOTA
Department of General Medicine, Nagasaki University School of Medicine
Terumitsu SAWAI
First Department of Surgery, Nagasaki University School of Medicine
Takeshi TSUCHIYA
Department of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University School of Medicine
Kunihiro TSUKASAKI
Department of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University School of Medicine
Kuniko ABE
Department of Pathology, Nagasaki University School of Medicine
Sumako YOSHIOKA
Department of General Medicine, Nagasaki University School of Medicine
Seiko NAKAYAMA
Department of General Medicine, Nagasaki University School of Medicine
Koh ABE
Department of General Medicine, Nagasaki University School of Medicine
Yohei MIZUTA
Second Department of Internal Medicine, Nagasaki University School of Medicine
Shigeru KOHNO
Second Department of Internal Medicine, Nagasaki University School of Medicine
Yoshiyuki OZONO
Department of General Medicine, Nagasaki University School of Medicine

Keywords: Jejunoileal fistula, T-cell lymphoma, Enteropathy, Intestine

JOURNAL FREE ACCESS

2009 Volume 54 Issue 1 Pages 25-27

DOI https://doi.org/10.11343/amn.54.25

Details

Abstract

Jejunoileal fistula is an extremely rare complication in patients with intestinal lymphoma. Here, we report a Japanese male patient with enteropathy-type intestinal T-cell lymphoma presenting abdominal pain and weight loss. A jejunoileal fistula was discovered during colonoscopy and pathological diagnosis was performed preoperatively by forceps biopsy. After elective surgery for partial resections of jejunum, ileum, and sigmoid colon, eight cycles of cyclophosphamide, doxorubicin, vincristine and prednisolone chemotherapy led complete remission of the disease.

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