Abstract
We report a rare case of primary gastric lymphoma with spontaneous perforation. An 84-year-old woman admitted elsewhere for anorexia and diagnosed with gastric diffuse large B cell lymphoma suffered acute abdominal pain after a meal 1 day after admission to our hospital. Based on a diagnosis of a gastric perforation due to malignant lymphoma, we conducted emergency surgery, finding a 1cm perforation in the middle greater curvature of the stomach. Due to the woman's poor condition and an age, we temporarily closed the perforation with an omental patch and, 27 days later when her condition had improved, we conduced distal gastrectomy. Eight weeks and 2days after initial surgery, she was transferred to the internal medicine department. In so far as we know, only 24 spontaneous perforations in gastric malignant lymphoma, including our case, have been reported in the Japanese literature in the last 23 years.
