Volume 61 - 1998 - Fasc.4 - Case reports
Malt lymphoma as first clinical presentation of a celiac disease
We report a case of a 35 year-old-woman who suffered from abdominal pain and weight loss. Asymptomatic celiac disease was discovered and complicated with a MALT Lymphoma in the jejunum. This is an uncommon combination because lymphoma that arises in the presence of enteropathy is commonly from T lymphocytes. Also because it normally appears in patients with long standing celiac disease who report a recrudescence of the abdominal symptoms.
A case of hairy cell leukemia resembling asymptomatic chronic liver disease on presentation
Hepatic infiltration in hairy cell leukemia is quite common but results of liver test are usually normal. A 44-year-old man with a history of alcohol abuse was evaluated for persistent elevation in serum aminotransferases. A percutaneous liver biopsy showed an extensive mononuclear cell infiltrate in the sinusoids and this finding led to the diagnosis of hairy cell leukemia. Liver involvement in hairy cell leukemia is discussed. Hairy cell leukemia should be considered as a potential cause of persistent increase in liver-related enzymes.
Intramural haematoma of the duodenum: A rare cause of duodenal obstruction
Intramural haematoma is a rare cause of duodenal obstruction. Its most common cause is abdominal trauma. Diagnostic dmculty arises ff the patient or the child&s parents fail to mention the episode of trauma, regarding it as an unrelated or insignificant event, as in the presented case. Computed tomography is the imaging modality of choice. Intramural duodenal haematoma is best treated conservatively, since operative treatment is associated with a high complication rate and longer hospitalization.
