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Upper gastrointestinal and intra-abdominal hemorrhage secondary to diffuse large B-cell gastric lymphoma.(Case Note/Note de cas)(Case study)
Publication: Canadian Journal of Surgery Publication Date: 01-JUN-08 Author: Shum, Jeffrey B. ; Jayaraman, Shiva ; Croome, Kris ; Quan, Douglas
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COPYRIGHT 2008 Canadian Medical Association
Invasion of a primary gastric lymphoma into the spleen, resulting in massive upper gastrointestinal and free intra-abdominal hemorrhage has never been described to our knowledge. We describe a case of this rare occurrence.
Case report
A 66-year-old woman presented to the emergency department complaining of shortness of breath and anorexia for the past 3 months. Her medical history was significant for morbid obesity, type 2 diabetes, hypertension and nephrolithiasis. Initial physical examination revealed that air entry to the left chest was markedly decreased and that her abdomen--although obese--was soft and...
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