Resumo

MOSQUERA-KLINGER, Gabriel Alonso. A Case Report of Crohn’s Disease and Primary Small Bowel Lymphoma. Rev Col Gastroenterol [online]. 2019, vol.34, n.1, pp.85-90. ISSN 0120-9957.  https://doi.org/10.22516/25007440.202.

This is a case report of Crohn’s Disease with a primary small bowel lymphoma and a literature review of the topic. The 57 year-old patient had suffered from abdominal pain and distention for almost one year prior to diagnosis. Endoscopic studies had found inflamed ulcers in the distal ileum stenosis in the ileocecal region. Pathological and imaging findings were compatible with stenosing Crohn’s disease of the distal ileum. Inflammation markers including fecal calprotectin (more than 20 times the normal value) were elevated. Optimal medical treatment including steroids, an immunomodulator, and biological therapy with tumor necrosis factor antagonist (AntiTNF) was administered, and patient’s initial response was good. Nevertheless, endoscopic and imaging follow-ups found a lesion in the distal ileum that appeared to be a tumor. Surgery found a neoplastic hematolymphoid tumor in the distal ileum.

Palavras-chave : Crohn’s disease; immune-proliferative disease of the small intestine; intestinal obstruction; magnetic resonance imaging.

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