A case report of primary central nervous system lymphoma with intestinal obstruction as the initial symptom.

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

Medicine

authors

Li X,Qi S,Jiao Y,Gao J,Du H

doi

10.1097/MD.0000000000010080

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

e0080

issue

10

eissn

0025-7974

issn

1536-5964

pii

00005792-201803090-00015

journal_volume

97

pub_type

杂志文章

相关文献

MEDICINE文献大全