Abstract
A case of gastric malignant lymphoma with gastric perforation is presented in this paper because of its rarity in the literature. A 45-year-old man was admitted to the hospital because of symptoms suggesting acute peritonitis due to gastrointestinal perforation. After gastric perforation was ensured by laparoscopy, the patient was converted to open surgery and a distal gastrectomy with peritoneal lavage was performed. A large ulcer, 8×9cm in size, was located at the body of stomach with a 7mm perforation. The diagnosis of diffuse medium-sized cell type malignant lymphoma was made by histological examination. Adjuvant chemotherapy was conducted after the surgery and the patient was discharged from the hospital on 71st postoperative day. The incidence of spontaneous perforation of gastric malignant lymphoma is rare. Only thirteen cases including ours have been reported in the literature for the past 16 years. It is emphasized that gastric perforation might occur in case of malignant gastric tumors.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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