Korean J Med.  2014 Jan;86(1):49-53. 10.3904/kjm.2014.86.1.49.

Asymptomatic Small Bowel Lymphoma Discovered Incidentally Following Ileal Intubation During Screening Colonoscopy

• Kim EH
• Lee RS
• Hu JY
• Choi YS
• Kim GH
• Oh JH
• Roh SY

• KMID: 1867316
• DOI: http://doi.org/10.3904/kjm.2014.86.1.49

Abstract

Primary lymphoma of the small intestine is commonly diagnosed after serious complications, such as bowel perforation and bleeding. It results from vague symptoms and the lack of routine screening programs due to low prevalence. Ileal intubation can be used for screening and diagnosis of various small intestinal diseases. However, the value of routine terminal ileum intubation during colonoscopy remains controversial because of its low diagnostic yield. In Korea, there has been no report of asymptomatic primary lymphoma of the small intestine discovered through ileal intubation during colonoscopy. Thus, we report a case of asymptomatic primary lymphoma of the small intestine diagnosed incidentally through terminal ileum intubation during screening colonoscopy, and we review the literature on small intestinal lymphoma and the value of routine ileal intubation.

Keyword

Lymphoma; Endoscopy; Colonoscopy; Ileum; Small intestine

MeSH Terms

Colonoscopy*
Diagnosis
Endoscopy
Hemorrhage
Ileum
Intestinal Diseases
Intestine, Small
Intubation*
Korea
Lymphoma*
Mass Screening*
Prevalence