T-Cell Lymphoma Misdiagnosed as Crohn’s Disease: Case Report

• DOI: 10.2478/prolas-2020-0023
• Publication Date: 2020-05-26T15:38:04Z
• Authors: Zane Straume; Justīne Māliņa; Anna Proskurina; Jurijs Nazarovs; Aleksejs Derovs; Patrick Dubois
• Keywords: T-Cell Lymphoma; Sulfasalazine

Abstract For many years, there has been a concern that inflammatory bowel disease carries an increased lymphoma risk. At the same time, patients with intestinal lymphomas are occasionally misdiag-nosed as having Crohn’s disease. We report case of T-cell disease, which illustrates diagnostic challenges posed by peripheral extranodal lymphomas. A 68-year old female presented clinical symptoms (diarrhoea, abdominal pain, poor appetite and significant weight loss), colonoscopic initial histological findings were similar to She was diagnosed received treatment sulfasalazine subsequent improvement symptoms. Eight months after diagnosis patient experienced sudden pain. Laparotomy revealed necrosis in small large intestine ileostomy performed. On day 10 complicated postoperative period died. Post-mortem histopathological examination highly malignant lymphoma, not otherwise specified. Differentiation from continues be challenge, because clinical, colonoscopic, radiological can mimic Careful multi-disciplinary assessment knowledge this rare disorder is crucial for timely diagnosis.