Severe ascites in young men: there are rapidly fatal malignant causes
DOI:
https://doi.org/10.32818/reccmi.a6n1a9Keywords:
burkitt lymphoma, non-hodgkin lymphoma, epstein-barr virus infections.Abstract
A 37-year-old male attended the emergency room with abdominal distension. He was found to have ascites with a periduodenal mass, peritoneal infiltration and mesenteric venous thrombosis. He also presented with sudden binocular diplopia. He was diagnosed within 48h with sporadic abdominal Burkitt's lymphoma with brain involvement and was treated with chemotherapy, Burkimab-13 protocol. He achieved a complete remission after three months, and has remained in remission two years after diagnosis. It is critical to suspect this lymphoma quickly since the tumor doubles daily in size and is fatal if left untreated, whereas survival reaches 65-95% with chemotherapy.
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Manning MA, Somwaru AS, Mehrotra AK, Levine MS. Gastrointestinal Lymphoma: Radiologic-Pathologic Correlation. Radiol Clin North Am. 2016; 54(4): 765-84. doi: https://doi.org/10.1016/j.rcl.2016.03.007.
Molyneux EM, Rochford R, Griffin B, Newton R, Jackson G, Menon G et al. Burkitt's lymphoma. Lancet. 2012; 379(9822): 1234-44. doi: https://doi.org/10.1016/S0140-6736(11)61177.
Magrath I. Epidemiology: clues to the pathogenesis of Burkitt lymphoma. Br J Haematol. 2012; 156(6): 744-56. doi: https://doi.org/10.1111/j.1365-2141.2011.09013.x.
Montes Moreno S. Libro Blanco de la Anatomía Patológica en España. Ed. Sociedad Española de Anatomía Patológica. International Academy of Pathology. Edición 2015. Pp 90-137.
Gastwirt JP, Roschewski M. Management of adults with Burkitt lymphoma. Clin Adv Hematol Oncol. 2018; 16(12): 812-822.
Oosten LEM, Chamuleau MED, Thielen FW, de Wreede LC, Siemes C, Doorduijn JK et al. Treatment of sporadic Burkitt lymphoma in adults, a retrospective comparison of four treatment regimens. Ann Hematol. 2018; 97(2): 255-266. doi: https://doi.org/10.1007/s00277-017-3167-7.
Wilson WH, Bromberg JE, Stetler-Stevenson M, Steinberg SM, Martin-Martin L, Muñiz C et al. Detection and outcome of occult leptomeningeal disease in diffuse large B-cell lymphoma and Burkitt lymphoma. Haematologica. 2014; 99(7): 1228-35. doi: https://doi.org/10.3324/haematol.2013.101741.
O'Rourke E, Malone A, O'Marcaigh A, Storey L, Betts D, McDermott M et al. Burkitt Lymphoma/Leukaemia in Children & Young Adolescents. Ir Med J. 2020; 113(1): 6.
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Copyright (c) 2021 María Luisa García-de-Aguinaga, María José Gómez-Crespo, Juan Antonio Gómez-Patiño, Frida Vallejo-Somohano, Noemí García-Miralles
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