Journal List > J Korean Soc Radiol > v.62(1) > 1086779

TOOLS
Ryu, Hong, Kim, Chang, Choi, Hwang, and Kwon: Mucosa-associated Lymphoid Tissue Lymphoma Presenting with Bowel Obstruction of the Duodenum and Small Bowels: A Case Report
Abdominal Radiology
Case Report

Journal of the Korean Society of Radiology 2010; 62(1): 57-60.

Published online: 31 January 2010

DOI: https://doi.org/10.3348/jksr.2010.62.1.57

Mucosa-associated Lymphoid Tissue Lymphoma Presenting with Bowel Obstruction of the Duodenum and Small Bowels: A Case Report

Guen Ho Ryu, M.D., Seong Sook Hong, M.D., Jung Hoon Kim, M.D., Yun Woo Chang, M.D., Duek Lin Choi, M.D., Jung Hwa Hwang, M.D., Kui Hyang Kwon, M.D.

1Department of Radiology, Soonchunhyang University Hospital, Korea.

Address reprint requests to : Seong Sook Hong, M.D., Department of Radiology, Soonchunhyang University Hospital 22, Daesakwan-gil, Yongsan-gu, Seoul 140-743, Korea. Tel. 82-2-709-9396, Fax. 82-2-709-3928, hongses@hosp.sch.ac.kr

Received 23 June 2009       Accepted 27 July 2009

Copyright © 2010 The Korean Society of Radiology

Abstract

The occurrence of primary duodenal mucosa associated lymphoid tissue (MALT) lymphoma is extremely rare, and more so is the obstruction of the duodenum for the MALT lymphoma. We describe the small bowel follow through and CT findings in an uncommon case of MALT lymphoma presenting with bowel obstruction of the 2nd portion of the duodenum and small bowels.

Keywords: Duodenal Neoplasms, Lymphoma, B-Cell, Marginal Zone, Duodenal Obstruction

Figures and Tables

Fig. 1

56-year-old male with MALT lymphoma presenting with bowel obstruction.

A. Small bowel follow through shows focal luminal narrowing (long white arrows) of the 2nd portion of the duodenum with small ulceration. And, also noted smooth luminal narrowing with fold thickening at the distal jeunal loop (short white arrows) and the pelvic ileal loop (white arrowheads).
B. Contrast enhanced CT at the level of the upper abdomen shows peripheral enhancing mass-like wall thickening (white arrows) of the 2nd portion of the duodenum with proximal luminal dilatation.
C. Contrast enhanced CT at the level of middle abdomen shows enhancing wall thickening (white arrows) of the proximal jejunum with multiple enlarged mesenteric lymph nodes (white arrowhead).
D. Contrast enhanced CT scan at the level of lower abdomen shows dumbell-shape luminal narrowing (white arrowheads) of the pelvic ileal loop.
E. Follow-up CT after 10 months of chemotherapy shows improvement of wall thickening (white arrows) of the duodenum and small bowel loops. Multiple mesenteric lymph nodes are also improved (not shown).
jksr-62-57-g001

References

1. Isaacson PG, Wright DH. Malignant lymphoma of mucosa-associated lymphoid tissue. A distinctive type of B-cell lymphoma. Cancer. 1983; 52:1410–1416.
2. Tadmor T, Rainis T, Bejar J, Attias D, Lavy A. Primary duodenal mucosa-associated lymphoid tissue (MALT) lymphoma a rare presentation of gastric outlet obstruction. Can J Gastroenterol. 2007; 21:393–395.
3. Patel VG, Eltayeb OM, Henderson VJ, Lyons R, Martin D, Hamami A, et al. Primary duodenal low-grade mucosa-associated lymphoid tissue lymphoma presenting with outlet obstruction. Am Surg. 2004; 70:613–616.
4. Parsonnet J, Hansen S, Rodriguez L, Gelb AB, Warnke RA, Jellum E, et al. Helicobacter pylori infection and gastric lymphoma. N Engl J Med. 1994; 330:1267–1271.
5. Yoo CC, Levine MS, Furth EE, Salhany KE, Rubesin SE, Laufer I, et al. Gastric mucosa-associated lymphoid tissue lymphoma: radiographic findings in six patients. Radiology. 1998; 208:239–243.
6. Kim YH, Lim HK, Han JK, Choi BI, Kim YI, Lee WJ, et al. Lowgrade gastric mucosa-associated lymphoid tissue lymphoma: correlation of radiographic and pathologic findings. Radiology. 1999; 212:241–248.
7. Fischbach W, Dragosics B, Kolve-Goebeler ME, Ohmann C, Greiner A, Yang Q, et al. Primary gastric B-cell lymphoma: results of a prospective multicenter study. The German-Austrian gastrointestinal lymphoma study group. Gastroenterology. 2000; 119:1191–1202.
8. Nahm DI, Baek IH, Lee MS. Primary duodenal MALT lymphoma. Korean J Gastroenterol. 2007; 49:343–345.
9. Du MQ, Xu CF, Diss TC, Peng HZ, Wotherspoon AC, Isaacson PG, et al. Intestinal dissemination of gastric mucosa-associated lymphoid tissue lymphoma. Blood. 1996; 88:4445–4451.
10. Nebiki H, Harihara S, Tsukuda H, Inoue T, Arakawa T. Regression of gastric MALT lymphoma after unsuccessful anti-H. pylori therapy. Am J Gastroenterol. 2000; 95:3684–3686.
TOOLS
Similar articles