Abstract
We report herein on a case of small bowel perforation caused by T cell lymphoma in a patient on blood maintenance dialysis. A 74-year-old man was admitted as an emergency for sudden fever and right lower abdominal pain. Blood maintenance dialysis was being carried out for chronic renal failure. Because abdominal CT showed remarkable free air and ascites, an emergency operation was performed. The patient was diagnosed as having a gastrointestinal perforation and so a partial resection of the jejunum was done. He died after the operation on the 93rd postoperative day. A partial jejunectomy specimen showed CD3-positive T cell lymphoma cells infiltrating the intestinal wall. T cell malignant lymphomas are is very rare, and have a poor prognosis because of the high perforation rate. Furthermore, chemotherapy is not effective and accumulation of cases with this disease is needed to elicit the ideal therapeutic strategy.
