Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report
Abstract Background Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL), a type of peripheral T-cell lymphoma, rarely involves the stomach as the primary organ. Advanced MEITL, for which there is currently no established treatment, causes gastrointestinal perforations and is characterized...
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Japan Surgical Society
2022-02-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01381-1 |
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| author | Keiji Muramoto Sachiko Kaida Toru Miyake Rie Nishimura Katsuyuki Kito Masanori Shiohara Ryoji Kushima Tomoharu Shimizu Masaji Tani |
| author_facet | Keiji Muramoto Sachiko Kaida Toru Miyake Rie Nishimura Katsuyuki Kito Masanori Shiohara Ryoji Kushima Tomoharu Shimizu Masaji Tani |
| author_sort | Keiji Muramoto |
| collection | DOAJ |
| description | Abstract Background Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL), a type of peripheral T-cell lymphoma, rarely involves the stomach as the primary organ. Advanced MEITL, for which there is currently no established treatment, causes gastrointestinal perforations and is characterized by a poor response to chemotherapy. Case presentation A 69-year-old man had undergone chemotherapy for MEITL of the whole stomach. He subsequently developed acute abdominal pain, and computed tomography revealed a giant perforation in the anterior gastric wall adjacent to the lateral segment of the liver. The perforation was rescued through closure with liver-covering sutures. Thereafter, a total gastrectomy and a left hepatectomy were performed and he recovered enough to tolerate oral intake. However, despite ongoing chemotherapy, the patient died 83 days after the gastric perforation (10 months after being diagnosed with the lymphoma) owing to rapid progression of the MEITL. Conclusion In the rare case of a giant gastric perforation after chemotherapy for gastric MEITL, rescue is possible through liver-covering sutures followed by a total gastrectomy and lateral hepatectomy. |
| format | Article |
| id | doaj-art-e6e28677cf7f4d529608f2ba331b9930 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-02-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e6e28677cf7f4d529608f2ba331b99302025-08-20T03:57:59ZengJapan Surgical SocietySurgical Case Reports2198-77932022-02-01811710.1186/s40792-022-01381-1Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case reportKeiji Muramoto0Sachiko Kaida1Toru Miyake2Rie Nishimura3Katsuyuki Kito4Masanori Shiohara5Ryoji Kushima6Tomoharu Shimizu7Masaji Tani8Department of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Surgery, Shiga University of Medical ScienceDepartment of Gastroenterology and Hematology, Shiga University of Medical ScienceDepartment of Gastroenterology and Hematology, Shiga University of Medical ScienceDepartment of Clinical Laboratory Medicine and Diagnostic Pathology, Shiga University of Medical ScienceDepartment of Clinical Laboratory Medicine and Diagnostic Pathology, Shiga University of Medical ScienceMedical Safety Section, Shiga University of Medical Science HospitalDepartment of Surgery, Shiga University of Medical ScienceAbstract Background Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL), a type of peripheral T-cell lymphoma, rarely involves the stomach as the primary organ. Advanced MEITL, for which there is currently no established treatment, causes gastrointestinal perforations and is characterized by a poor response to chemotherapy. Case presentation A 69-year-old man had undergone chemotherapy for MEITL of the whole stomach. He subsequently developed acute abdominal pain, and computed tomography revealed a giant perforation in the anterior gastric wall adjacent to the lateral segment of the liver. The perforation was rescued through closure with liver-covering sutures. Thereafter, a total gastrectomy and a left hepatectomy were performed and he recovered enough to tolerate oral intake. However, despite ongoing chemotherapy, the patient died 83 days after the gastric perforation (10 months after being diagnosed with the lymphoma) owing to rapid progression of the MEITL. Conclusion In the rare case of a giant gastric perforation after chemotherapy for gastric MEITL, rescue is possible through liver-covering sutures followed by a total gastrectomy and lateral hepatectomy.https://doi.org/10.1186/s40792-022-01381-1Monomorphic epitheliotropic intestinal T-cell lymphomaGastric lymphomaPerforationHepatectomy |
| spellingShingle | Keiji Muramoto Sachiko Kaida Toru Miyake Rie Nishimura Katsuyuki Kito Masanori Shiohara Ryoji Kushima Tomoharu Shimizu Masaji Tani Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report Surgical Case Reports Monomorphic epitheliotropic intestinal T-cell lymphoma Gastric lymphoma Perforation Hepatectomy |
| title | Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report |
| title_full | Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report |
| title_fullStr | Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report |
| title_full_unstemmed | Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report |
| title_short | Rare monomorphic epithelial intestinal T-cell lymphoma of the stomach with a giant gastric perforation rescued by liver-covering sutures followed by a total gastrectomy and lateral hepatectomy: a case report |
| title_sort | rare monomorphic epithelial intestinal t cell lymphoma of the stomach with a giant gastric perforation rescued by liver covering sutures followed by a total gastrectomy and lateral hepatectomy a case report |
| topic | Monomorphic epitheliotropic intestinal T-cell lymphoma Gastric lymphoma Perforation Hepatectomy |
| url | https://doi.org/10.1186/s40792-022-01381-1 |
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