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Diffuse large B ‐cell lymphoma ( DLBCL ) in the bypassed stomach after obesity surgery
Author(s) -
Courtney M. J,
Chattopadhyay D.,
Rao M.,
Light D.,
Gopinath B.
Publication year - 2014
Publication title -
clinical obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 12
eISSN - 1758-8111
pISSN - 1758-8103
DOI - 10.1111/cob.12045
Subject(s) - medicine , lymphoma , malignancy , stomach , gastric bypass surgery , diffuse large b cell lymphoma , surgery , nausea , gastric bypass , abdominal pain , obesity , weight loss
Summary Laparoscopic R oux‐en‐ Y gastric bypass is the most commonly performed surgical procedure for obesity and, consequently, post‐operative patients are increasingly encountered by all specialties. This is a case of a patient presenting with abdominal pain, nausea and fever 9 months following gastric bypass surgery caused by diffuse large B ‐cell lymphoma ( DLBCL ) in the bypassed stomach. It demonstrates well that symptoms that may normally be considered ‘red‐flags’ may not be as obvious or specific following an operation. The case also indicates the importance of considering diagnoses unrelated to surgery presenting in the post‐operative period (especially when conventional investigation methods are not feasible), and the potential danger of assuming they are due to the operation alone; had this occurred in this patient then a malignancy may have been missed. This is only the second reported case of DLBCL in the bypassed stomach, and the third for lymphoma of any type.