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Reminder of important clinical lesson
Enteropathy associated T-cell lymphoma resulting in restrictive cardiomyopathy and mimicking myocardial infarction
  1. D Prichard1,
  2. S Jamal1,
  3. A Fortune2,
  4. D S O'Briain3,
  5. N Mahmud4
  1. 1Department of Gastroenterology, St James's Hospital, Dublin, Ireland
  2. 2Department of Haematology, St James's Hospital, Dublin, Ireland
  3. 3Department of Histopathology, St James's Hospital, Dublin, Ireland
  4. 4Department of Clinical Medicine & Gastroenterology, Trinity College Dublin, Trinity Centre for Health Sciences, St James's Hospital, Dublin, Ireland
  1. Correspondence to N Mahmud, nmahmud{at}tcd.ie

Summary

A 64-year-old woman was referred with a short history of abdominal pain, anorexia and weight loss. Investigations revealed a probable enteropathy associated T-cell lymphoma (EATL). Further investigations revealed evidence of what appeared to be a myocardial infarction. After going through laparoscopy to obtain diagnostic tissue, the patient developed cardiogenic shock which proved refractory to medical therapy. Postmortem examination revealed diffuse abdominal lymphoma consistent with EATL. Surprisingly, there was extensive infiltration of the myocardium. This report demonstrates an unusual pathology resulting from EATL and discusses the limited evidence relating to cardiac involvement of this disease.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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