Abstract
Primary lymphoma in gastrointestinal tract is not very common. Ileocecal region is the commonest site for primary lymphoma and diffuse large B cell lymphoma (DLBCL) is the most prevalent subtype. The clinical presentation in this condition is pain in right lower quadrant region and this can very confusing since many diseases can also cause this problem like infection and inflammatory disease. In this paper, we report a case of primary lymphoma subtype DLBCL in ileocecal region that come to emergency department with ileus obstruction. Abdominal computerized tomography (CT) scan and colonoscopy revealed tumour in ileocecal region ascendens colon. Hemicolectomy was performed and the specimen was sent to pathology which revealed non-Hodgkin lymphoma with subtype DLBCL CD20 (+). The patient had undergone of Rituximab, Cyclophosphamide, Doxorubicine, Vincristin, and Prednison (RCHOP) chemotherapy regimen and had complete remission.
Highlights
Gastrointestonal tract is the most common place for extranodal metastasis by lymphoma that account 5-20% from all cases.[1]
Precisely small intestine is very rare that accounts about less than 2% of all gastrointestinal malignancies
From primary intestinal Lymphoma B-cell Lymphoma is more frequent than T-Cell, with diffuse large B cell lymphoma (DLBCL) is the most common subtype
Summary
Gastrointestonal tract is the most common place for extranodal metastasis by lymphoma that account 5-20% from all cases.[1]. Regio ileosekal merupakan lokasi limfoma primer yang sering terjadi dan diffuse large B cell lymphoma (DLBCL) adalah subtipe limfoma non-Hodgkin yang paling sering terjadi pada regio ileosekal.
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