Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report
Abstract Background Anaplastic large-cell lymphoma primarily involving the omentum is an extremely rare entity with variable clinical presentation. Owing to its rarity and nonspecific clinical manifestation, omental T-cell lymphoma is often diagnosed at a later stage, riddled with complications. Whi...
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| Language: | English |
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BMC
2024-11-01
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| Series: | Journal of Medical Case Reports |
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| Online Access: | https://doi.org/10.1186/s13256-024-04810-x |
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| author | Sarmad Pirzada Ibrahim Zahid Ali Abbas Mankani Muhammad Zain Farooq Wesam M. Frandah |
| author_facet | Sarmad Pirzada Ibrahim Zahid Ali Abbas Mankani Muhammad Zain Farooq Wesam M. Frandah |
| author_sort | Sarmad Pirzada |
| collection | DOAJ |
| description | Abstract Background Anaplastic large-cell lymphoma primarily involving the omentum is an extremely rare entity with variable clinical presentation. Owing to its rarity and nonspecific clinical manifestation, omental T-cell lymphoma is often diagnosed at a later stage, riddled with complications. While imaging modalities such as computed tomography scan can help a physician reach a diagnosis, cases that present with complications may require a multidisciplinary approach that combines surgical exploration along with consultation from Oncology. Case presentation We hereby report a rare case of a 66-year-old African American male patient who presented to the emergency department with complaints of acute gastrointestinal obstruction. A computed tomography scan of the abdomen and pelvis revealed evidence of an internal hernia and surgical exploration revealed a hemorrhagic and infarcted omentum. Biopsies along with immunophenotypic studies confirmed the diagnosis of anaplastic T-cell lymphoma of the omentum complicated by Massilia timonae infection. Conclusion The case highlights the significance of considering lymphoma, although rare, as a differential in a patient who presents with small bowel obstruction and the importance of investigating for malignancy for early diagnosis and treatment of primary omental lymphomas, before complications develop. |
| format | Article |
| id | doaj-art-89470d9eb8be4c2ba315bc7384a1c041 |
| institution | OA Journals |
| issn | 1752-1947 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj-art-89470d9eb8be4c2ba315bc7384a1c0412025-08-20T02:18:33ZengBMCJournal of Medical Case Reports1752-19472024-11-011811510.1186/s13256-024-04810-xPrimary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case reportSarmad Pirzada0Ibrahim Zahid1Ali Abbas Mankani2Muhammad Zain Farooq3Wesam M. Frandah4Internal Medicine, Trinity Health LivoniaInternal Medicine, Western Michigan University Homer Stryker M. D. School of MedicineDow University of Health SciencesHematology & Oncology, University of South Florida/Moffitt Cancer CenterGastroenterology & Hepatology, Marshall UniversityAbstract Background Anaplastic large-cell lymphoma primarily involving the omentum is an extremely rare entity with variable clinical presentation. Owing to its rarity and nonspecific clinical manifestation, omental T-cell lymphoma is often diagnosed at a later stage, riddled with complications. While imaging modalities such as computed tomography scan can help a physician reach a diagnosis, cases that present with complications may require a multidisciplinary approach that combines surgical exploration along with consultation from Oncology. Case presentation We hereby report a rare case of a 66-year-old African American male patient who presented to the emergency department with complaints of acute gastrointestinal obstruction. A computed tomography scan of the abdomen and pelvis revealed evidence of an internal hernia and surgical exploration revealed a hemorrhagic and infarcted omentum. Biopsies along with immunophenotypic studies confirmed the diagnosis of anaplastic T-cell lymphoma of the omentum complicated by Massilia timonae infection. Conclusion The case highlights the significance of considering lymphoma, although rare, as a differential in a patient who presents with small bowel obstruction and the importance of investigating for malignancy for early diagnosis and treatment of primary omental lymphomas, before complications develop.https://doi.org/10.1186/s13256-024-04810-xOmental lymphomaSmall bowel lymphomaInternal herniaSmall bowel obstructionCase report |
| spellingShingle | Sarmad Pirzada Ibrahim Zahid Ali Abbas Mankani Muhammad Zain Farooq Wesam M. Frandah Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report Journal of Medical Case Reports Omental lymphoma Small bowel lymphoma Internal hernia Small bowel obstruction Case report |
| title | Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report |
| title_full | Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report |
| title_fullStr | Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report |
| title_full_unstemmed | Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report |
| title_short | Primary anaplastic T-cell lymphoma of the omentum presenting as small bowel obstruction and complicated with Massilia timonae infection: a case report |
| title_sort | primary anaplastic t cell lymphoma of the omentum presenting as small bowel obstruction and complicated with massilia timonae infection a case report |
| topic | Omental lymphoma Small bowel lymphoma Internal hernia Small bowel obstruction Case report |
| url | https://doi.org/10.1186/s13256-024-04810-x |
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