Linfoma no Hodgkin Intestinal como causa de Obstrucción Intestinal

Abstract

For female patient, 31 years old, with personal pathological history of hypertension 4 months without treatment, family medical history is presented; deceased sister 3 months ago with gastric cancer and systemic lupus erythematosus; and hypertensive mother. Patient comes to the emergency room with abdominal pain of a month of evolution, which intensifies 24 hours, located in epigastric cramping of great intensity that radiates flank and right iliac fossa, accompanied vomited food content three times and abdominal distention, constipation also relates a week ago. In the review of instruments and systems are asthenia and fine lees for about a month, weight loss of 10 kg 8 months ago. The patient consents physical examination oriented, algid, afebrile, hydrated. Abdomen globose, soft painful epigastric tenderness and right iliac fossa, Mac Burney and positive Bloomberg depressible. In laboratory tests striking a hemoglobin of 6.9 g / dL and a hematocrit of 24.4%, 54.4 MCV, MCH MCHC 15.4 and 28.3. The entry into service of surgery is decided with a diagnosis of acute abdomen and exploratory laparotomy was performed, in which tumor mass is at the level of terminal ileum 45 cm of ileocecal valve occluding the intestinal lumen 10 by 12 cm. And diverticulum ileal 50 cm of ileocecal valve. Diverticulum and tumor resection is performed with oncologic criteria with terminal end anastomosis, and sample is sent for histopathological examination; which reports intestinal non-Hodgkin lymphom