SPONTANEOUS PERFORATION OF PRIMARY GASTRIC MALT LYMPHOMA: A CASE REPORT
MOHAMED HAJRI
Department of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
WAEL FERJAOUI *
Department of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
GHOFRANE TALBI
Department of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
DHOUHA BACHA
Department of Pathology, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
LASAAD GHARBI
Department of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
MOHAMED TAHER KHALFALLAH
Department of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Primary gastric lymphoma with spontaneous perforation is exceptional. We report here the case of a 35- year-old-woman who was admitted to our surgery department with severe epigastralgia. Chest Radiography in standing position showed pneumoperitoneum. Intraoperative exploration revealed a perforated gastric tumor in the greater curvature. A total gastrectomy with lymph node dissection was done. Pathological examination confirmed the diagnosis of extra nodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma). The patient was referred for postoperative adjuvant chemotherapy. He is currently with no signs of recurrence, 7 months after his operation.
Keywords: Spontaneous perforation, gastric lymphoma, ulcer