1
|
Kaye AJ, Choi C, Wong V, Wang W. Rare Jejunal Large B-cell Lymphoma Mimicking a Crohn's Disease Without Terminal Ileum Involvement. Cureus 2022; 14:e26450. [PMID: 35923677 PMCID: PMC9339347 DOI: 10.7759/cureus.26450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2022] [Indexed: 11/30/2022] Open
Abstract
This case describes a 49-year-old man who presented with a several-month history of melena, and unintentional weight loss. Prior esophagogastroduodenoscopy and colonoscopy were unrevealing. Further evaluation with capsule endoscopy showed patchy erythematous mucosa in the jejunum creating suspicion for Crohn's Disease. Subsequent push enteroscopy found nodular and congested patchy mucosa of jejunum, and stigmata of bleeding in the proximal and mid-jejunum. Repeat colonoscopy showed a diffuse area of erythematous mucosa in the recto-sigmoid colon, and moderately congested mucosa in the ascending colon, but a normal terminal ileum. A small bowel biopsy eventually revealed large B-cell lymphoma. This is one of the first seven reported cases of small bowel lymphoma mimicking Crohn's Disease and the first to not have any ileal involvement.
Collapse
Affiliation(s)
- Alexander J Kaye
- Internal Medicine, Rutgers University New Jersey Medical School, Newark, USA
| | - Catherine Choi
- Gastroenterology and Hepatology, Rutgers University New Jersey Medical School, Newark, USA
| | - Vincent Wong
- Internal Medicine-Pediatrics, Rutgers University New Jersey Medical School, Newark, USA
| | - Weizheng Wang
- Gastroenterology and Hepatology, Rutgers University New Jersey Medical School, Newark, USA
| |
Collapse
|
2
|
Trabolsi A, Alderuccio JP, Florindez J, Rodriguez G, Saul E, Iyer SG, Chapman JR, Poveda J, Sussman DA, Lossos IS. Marginal zone lymphoma of the colon: case series from a single center and SEER data review. Leuk Lymphoma 2021; 63:1160-1166. [DOI: 10.1080/10428194.2021.2015766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Asaad Trabolsi
- Division of Hematology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Juan Pablo Alderuccio
- Division of Hematology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jorge Florindez
- Division of Hospital Medicine, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Gregor Rodriguez
- Internal Medicine Residency, Jackson Memorial Health System, Miami, FL, USA
| | - Eduardo Saul
- Internal Medicine Residency, Jackson Memorial Health System, Miami, FL, USA
| | - Sunil Girish Iyer
- Division of Hematology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Jennifer R. Chapman
- Division of Hematopathology, Department of Pathology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Julio Poveda
- Division of Hematopathology, Department of Pathology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Daniel A. Sussman
- Division of Gastroenterology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Izidore S. Lossos
- Division of Hematology, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA
- Department of Molecular and Cellular Pharmacology, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA
| |
Collapse
|