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Case Reports
. 2022 Jun 22;9(6):e00794.
doi: 10.14309/crj.0000000000000794. eCollection 2022 Jun.

Fistula Between a Primary Sigmoid Large B-Cell Lymphoma and an Ovarian Teratoma

Caterina Accardo  1 , Massimiliano Ardu  1 , Francesca Di Candido  1 , Gabriele Epifani  1 , Diletta Cassini  1 , Francesca Bono  2 , Gianandrea Baldazzi  1
Affiliations
Case Reports

Fistula Between a Primary Sigmoid Large B-Cell Lymphoma and an Ovarian Teratoma

Caterina Accardo et al. ACG Case Rep J. .

Abstract

Primary colorectal lymphoma is a rare neoplasm. We report the case of a fistula between a diffuse large B-cell lymphoma of the sigmoid colon and an ovarian teratoma. An emergent laparotomy for an acute abdomen in a 90-year-old woman was performed. A pelvic mass of 12 × 9 cm fistulized in the left colon was found with the presence of gas and free liquid within the abdomen. This is an extremely rare condition, and as far as we know, no cases of a fistula between a large B-cell colonic lymphoma and an ovarian teratoma are present in the literature.

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Figures

Figure 1.
Figure 1.
Transverse computed tomography scan image: pneumoperitoneum and close adhesion of the colon and the ovarian cyst.
Figure 2.
Figure 2.
Coronal computed tomography scan image: fistulization between the dislocated sigmoid colon and the ovarian teratoma.
Figure 3.
Figure 3.
Intraoperative findings.
Figure 4.
Figure 4.
Histological specimens.
Figure 5.
Figure 5.
Hematoxylin & eosin staining shows the neoplastic lesion involving the colonic wall. The other image shows the Ki67 proliferation index (magnification 400×).
See this image and copyright information in PMC

References

    1. Wong MT, Eu KW. Primary colorectal lymphomas. Colorectal Dis. 2006;8(7):586–91. - PubMed
    1. Skube SJ, Arsoniadis EG, Sulciner ML, et al. . Colorectal lymphoma: A contemporary case series. Dis Colon Rectum. 2019;62(6):694–702. - PubMed
    1. Sant M, Allemani C, Tereanu C, et al. HAEMACARE working group. Incidence of hematologic malignancies in europe by morphologic subtype: Results of the HAEMACARE project. Blood. 2010;116(19):3724–34. - PubMed
    1. Lightner AL, Shannon E, Gibbons MM, Russell MM. Primary gastrointestinal non-Hodgkin's lymphoma of the small and large intestines: A systematic review. J Gastrointest Surg. 2016;20(4):827–39. - PubMed
    1. Lewin KJ, Ranchod M, Dorfman RF. Lymphomas of the gastrointestinal tract: A study of 117 cases presenting with gastrointestinal disease. Cancer. 1978;42(2):693–707. - PubMed

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