Author/Editor     Kropivnik, Mateja; Jamar, Breda; Černelč, Bojana
Title     Primary non-Hodgkin lymphoma of the cecum: a case report
Translated title     Primarni ne-Hodgkinov limfom v cekumu: prikaz primera
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 36, št. 1
Publication year     2002
Volume     str. 1-4
Language     eng
Abstract     Background. Primary lymphoma of the colon is rare, constituting 0.4 % of primary colonic malignancies and usually involves cecum or rectum. The aim of this paper is to present the role and the importance of double contrast barium enema (DCBE) in the diagnostic process. Case report. A 77 years old male was admitted because of suspected inflammation in the area of total endoprosthesis of the left hip, inserted ten years before. Listeria monocytogenes was isolated from the aspirate and the patient treated with antibiotics. Twenty years ago the patient underwent nephrectomy because of hypernephroma of left kidney. At the time of admission he had sideropenic anaemia and he was febrile. Conclusion. The patient underwent many diagnostic procedures: ultrasound (US), computed tomography (CT), double contrast barium enema, which showed a tumour in the cecum, small bowel follow-through and scintigraphy. The diagnosis of primary non-Hodgkin lymphoma was established by histology after biopsy at colonoscopy.
Summary     Izhodišča. Primarni limfom širokega črevesa je redek, predstavlja le 0,4 % primarnih malignomov v širokem črevesu, običajno pa zajame cekum ali rektum. V članku želimo prikazati pomen rentgenske preiskave širokega črevesa v diagnostičnem postopku. Prikaz primera. 77-letni bolnik je bil sprejet zaradi bolečin in suma na septično vnetje v levem kolku, kjer je imel deset let prej vstavljeno totalno endoprotezo. Iz punktata so izolirali Listerio monocytogenes. Dvajset let prej so mu odstranili levo ledvico zaradi hipernefroma. Ob sprejemu je bil febrilen in anemičen. Zaključki. Pri bolniku so opravili več preiskav: ultrazvočno in računalniško tomografsko preiskao trebuha, scintigrafijo in jejunoileografijo Z dvojno kontrastno rentgensko preiskavo širokega črevesa smo prikazali tumor v predelu ileocekalne valvule. Diagnozo ne-Hodgkinovega limfoma so postavili histološko po biopsiji ob koloskopiji.
Descriptors     CECAL NEOPLASMS
LYMPHOMA, NON-HODGKIN'S
AGED
CONTRAST MEDIA
BARIUM