Research Article
Volume 2 Issue 3 - 2018
Synchronous Lymphoma of the Appendix and the ileum
Wilson IB Onuigbo* and Angela Muobike
The National Orthopaedic Hospital, Enugu, Nigeria and the Annunciation Specialist Hospital, Emene, Nigeria
*Corresponding Author: Wilson IB Onuigbo, The National Orthopaedic Hospital, Enugu, Nigeria and the Annunciation Specialist Hospital, Emene, Nigeria.
Received: August 01, 2018; Published: August 25, 2018
Abstract
It is on record that lymphoma of the stomach may be healed whereas that of the appendix would manifest later. Therefore, this paper documents synchronous lymphoma of both appendix and ileum among the Ibo ethnic group in Nigeria.
Key Words: Lymphoma; Ileum; Appendix; Synchronous case; Nigeria
Introduction
From Ireland [1], there arose a case in which a 61-year-old woman underwent chemotherapy for gastric lymphoma successfully but it relapsed after 8 years in the appendix. Therefore, this paper reports from a Nigerian Ibo [2]; synchronously, both ileum and appendix were inflicted with the lymphoma. This combination requires addition to the literature as a case report.
Case Report
IM, a 42-year-old man, attended the Annunciation Specialist Hospital at Emene, near Enugu. There, he was seen by Sister Dr Angela Muobike. His story was that of acute abdomen. There was tenderness in the right iliac fossa. At operation, there was ascites as well as a tumor in the terminal ileum. Scattered small lumps were found in the omentum and mesentery lymph nodes. Emergency, right hemicolectomy and ileo-colic anastemosis were performed. Long coils of the bowel including variably thickened mesentery were submitted. Much thickened fatty masses included a 7 cm fatty involved appendix with scarcely any lumen. On microscopy, all sections revealed sheets of variform, hyperchromatic, round tumor cells without differentiation. Malignant melanoma was diagnosed together with metastases.
Discussion
The commoner lymphomatous involvement of the appendix was not associated with other organs. Indeed, reports came from China [3], India [4], and Taiwan [5]. As for the US [6], we gather that “Although appendiceal lymphoma is rare, the characteristic CT appearance could lead to a preoperative diagnosis.” Owing to the underdevelopment of the local system, this was not part of the procedure here. Incidentally, an odd combination was seen in Belgium [7]. There, the incidental finding was of silent appendicitis accompanied by lung cancer.
References
  1. Watson GA., et al. “Non-Hodgkin’s lymphoma of the appendix”. Cancer and Clinical Oncology 5.1 (2016).
  2. Basden GT. Niger Ibos. Lond: Cass, (1966).
  3. Guo J., et al. “Primary appendiceal presenting as suspected perforated acute appendicitis: Clinical, sonography and CT findings with pathologic correlation”. International Journal of Clinical and Experimental Pathology 7.10 (2014): 7068-7071.
  4. Sharma JD., et al. “B-cell lymphoma of the appendix: A case report and review of literature”. Oncology, Gastroenterology and Hepatology Reports 4.1 (2015).
  5. Fu TY., et al. “Primary appendiceal lymphoma presenting as perforated acute appendicitis”. Journal of the Chinese Medical Association 67.12 (2004): 629-632.
  6. Pickhardt PJ., et al. “Non-Hodgkin’s lymphoma of the appendix: Clinical and CT findings with pathologic correlation”. American journal of roentgenology 178.5 (2002): 1123-1127.
  7. Bourgeois S., et al. “Incidental finding of silent appendicitis on 18F-FDG PET/CT in a patient with small cell lung adenocarcinoma”. Hellenic Journal of Nuclear Medicine 19.2 (2016): 164-166.
Citation: IB Onuigbo and Angela Muobike. “Synchronous Lymphoma of the Appendix and the ileum”. Medical Research and Clinical Case Reports 2.3 (2018): 230-231.
Copyright: © 2018 IB Onuigbo and Angela Muobike. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.