Vascular embolization for treatment of primary gastric lymphoma combined with acute upper gastrointestinal hemorrhage: report of two cases and review of literature

Abstract

Objective To investigate the clinical features of primary gastric lymphoma (PGL) combined with acute upper gastrointestinal hemorrhage, and to improve the diagnosis and treatment level. Methods The clinical manifestations and treatment of 2 PGL cases combined with acute upper gastrointestinal hemorrhage were analyzed retrospectively, and the related literature was reviewed. Results Two patients suffered from venosity, abdominal pain and weight loss, which were diagnosed by gastroscopy mucosa biopsy with upper gastrointestinal hemorrhage and uncontrolled hemorrhagic shock. Vascular embolization was used to stop bleeding and systemic chemotherapy was followed to achieve further curative effect. Conclusion Embolization treatment is safe and effective for PGL combined with acute upper gastrointestinal hemorrhage without any influences on chemotherapy. Key words: Lymphoma, large B-cell, diffuse; Stomach; Burkitt lymphoma; Gastrointestinal hemorrhage; Embolization, therapeutic