Distal Ileitis Caused by Diffuse Large B-Cell Lymphoma in an Elderly Patient From Honduras

Authors

Jacob Newman, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Alison Hong, The George Washington University of Medicine and Health Sciences, Washington, DC.
Jennie Zhang, Division of Gastroenterology and Liver Disease, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Abdelrahman Dabash, Department of Pathology, The George Washington University School of Medicine and Health Sciences, Washington, DC.
James Gehring, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Lei Lynn, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Marie Borum, Division of Gastroenterology and Liver Disease, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Sumona Bhattacharya, Division of Gastroenterology and Liver Disease, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.

Document Type

Journal Article

Publication Date

6-1-2024

Journal

ACG case reports journal

Volume

11

Issue

6

DOI

10.14309/crj.0000000000001356

Keywords

Colonoscopy; Crohn's Disease; Diffuse Large B-Cell Lymphoma; Gastrointestinal Lymphoma; Stricture

Abstract

Primary gastrointestinal non-Hodgkin lymphoma, while rare, most often presents as diffuse large B-cell lymphoma located in the stomach or ileocecal region. Presenting symptoms include abdominal pain, gastrointestinal bleeding, weight loss, or obstructive symptoms. Imaging can reveal ileitis or obstruction. We report a case of a man from Honduras with latent tuberculosis and chronic hepatitis B who presented with features of Crohn's disease through clinical, radiologic, and endoscopic findings but was ultimately diagnosed with diffuse large B-cell lymphoma by histology. We emphasize the importance of maintaining a broad differential for ileitis and the importance of histologic sampling when evaluating ileitis.

APA Citation

Newman, Jacob; Hong, Alison; Zhang, Jennie; Dabash, Abdelrahman; Gehring, James; Lynn, Lei; Borum, Marie; and Bhattacharya, Sumona, "Distal Ileitis Caused by Diffuse Large B-Cell Lymphoma in an Elderly Patient From Honduras" (2024). GW Authored Works. Paper 5096.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/5096

Department

Medicine