Abstract:
RATIONALE:Primary central nervous system lymphoma (PCNSL) with initial manifestations of constipation and intestinal obstruction (IO) is rare. PATIENT CONCERNS:A 50-year-old Chinese male patient was admitted to the gastroenterology department due to constipation and abdominal distention for 8 days. He had experienced intermittent back pain for 3 years prior to admission. Based on abdominal radiography, he was initially diagnosed with IO and treated with meal restriction and enemas. However, his symptoms worsened, and progressive lower limb weakness was observed. DIAGNOSES:A colonoscopy was inconclusive due to the IO. Computed tomography and magnetic resonance imaging revealed space-occupying lesions near centrums 9-11 of the thoracic vertebrae. The patient underwent spinal decompression surgery, and pathologic examination led to a diagnosis of PCNSL (diffuse large B cell lymphoma). OUTCOMES:The symptoms of the IO improved postoperatively, and the patient partially recovered his lower limb muscle strength. He returned to his homeland for chemotherapy. LESSONS:IO can be an initial, unspecific symptom of spinal cord compression in patients with PCNSL.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Li X,Qi S,Jiao Y,Gao J,Du Hdoi
10.1097/MD.0000000000010080subject
Has Abstractpub_date
2018-03-01 00:00:00pages
e0080issue
10eissn
0025-7974issn
1536-5964pii
00005792-201803090-00015journal_volume
97pub_type
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