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ISSN (Online) : 2277-4572

ILEAL LYMPHOMA: PITFALLS OF PALPABLE MASS IN THE RIGHT ILIAC FOSSA

Abstract

Author(s): Andee Dzulkarnaen Zakaria*, Syed Hassan, Siti Aishah Zailani, Syed Azhar Syed Sulaiman, Amer Hayat Khan

In the gastrointestinal organ, the ileum is more frequently affected as compared to duodenum and jejunum. Studies showed that Non-Hodgkin Lymphoma of the ileum accounts for some 3 % of extra nodal onset lymphoma and 20 % of gastrointestinal lymphoma. Symptoms that commonly presence in Non Hodgkin lymphoma patients is fever, abdominal pain and weight loss. The right iliac fossa is predisposed to high tenderness because of anatomical and functional reasons. Differential diagnosis of palpable mass in lower right abdominal quadrant can sometimes be difficult. Surgery represents the elective treatment for primary forms, followed by chemotherapy and radiotherapy. Patients with ileal lymphoma usually underwent emergency intestinal resection. This is a case of post-operative surgery and medications given to this patient specifically to treat his complications after surgery