A CASE OF ILEAL PERFORATION DUE TO EATL (ENTEROPATHY-ASSOCIATED T-CELL LYMPHOMA), LOCATED IN THE GASTROINTESTINAL TRACT INCLUDING THE STOMACH AND DUODENUM

Abstract

A 73-year-old woman visited our hospital because of general malaise and anemia. Gastrointestinal endoscopy and colonoscopy revealed irregularly shaped huge ulcers in the gastric body, antrum and duodenum. Computed tomography showed wall thickening of the stomach, duodenum and the proximal part of the jejunum. Pathological diagnosis of the biopsy specimens was enteropathy-associated T-cell lymphoma (EATL) type Ⅱ. She was admitted because of dyspnea due to acute pulmonary thromboembolism. Fourteen days after admission, she died from peritonitis due to perforation of the ileum. EATL, a rare disease, is a subtype of mature T cell and NK cell tumor, mainly located in the small intestine. We report a much rarer case of EATL located in the stomach and duodenum.