부산대학교 도서관

An 83-year-old man was admitted to our hospital because of intermittent abdominal pain. Abdominal CT revealed small intestinal dilatation and niveau formation. The patient had a history of appendectomy, and we diagnosed adhesive intestinal obstruction. The patient was treated non-surgicaly. On the 9th day in hospital, sudden abdominal pain and vomiting developed. We performed an operation under a diagnosis of recurrence of intestinal obstruction. Laparotomy revealed a circumferential stenosis of the jejunum, 60 cm proximal from the ileocecal junction. We performed a partial resection of the small intestine. Histopathologically, the diagnosis was peripheral unspecified type T cell lymphoma. After surgery, the patient underwent half-dose CHOP therapy. His postoperative course was uneventful. Only 58 cases of primary T-cell lymphoma of the small intestine have been reported in Japan. Furthermore, unspecified type peripheral T-cell lymphoma of the small intestine is very rare, and only 4 cases, including the present case, have been reported.