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Unusual association of diseases/symptoms
Case report
An unusual presentation of gastric mucosa-associated lymphoid tissue (MALT) lymphoma following blunt abdominal trauma
  1. Karim Nashed1,
  2. Keith Lai2,
  3. Tyler Stevens3 and
  4. Gareth Morris-Stiff4
  1. 1 Kasr Al-Ainy Faculty of Medicine, Cairo University, Cario, Egypt
  2. 2 Department of Anatomic Pathology, Cleveland Clinic, Cleveland, Ohio, USA
  3. 3 Department of Gastroenterology, Cleveland Clinic, Cleveland, Ohio, USA
  4. 4 HPB Surgery, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to Dr Gareth Morris-Stiff, garethmorrisstiff{at}hotmail.com

Abstract

A 79-year-old woman presented to the emergency department following a motor vehicle collision. As part of her workup she underwent a CT scan which identified a large mass containing calcifications centred around the gastric antrum, and while being assessed she produced 500 mL of haematemesis. An endoscopy revealed an area of friable mucosa the nature of which was uncertain, and multiple biopsies revealed amyloid deposition and active Helicobacter pylori gastritis. Following review of imaging and pathology, a diagnosis of gastric mucosa-associated lymphoid tissue (MALT) lymphoma was established. She was treated with quadruple therapy for the H. pylori and at 6-month follow-up she is asymptomatic with repeat endoscopy revealing healing of the ulceration and no biopsy evidence of H. pylori or MALT.

  • endoscopy
  • Helicobacter pylori
  • drugs: gastrointestinal system
  • stomach and duodenum
  • pathology

http://dx.doi.org/10.1136/bcr-2019-230878

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    Footnotes

    • Contributors KN wrote the case report and performed the literature review. GM-S edited the case report, provided the information on the initial case report and performed the final review. KL provided the pathology slides and comment. TS provided the endoscopy images and comment.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.