Severe Lower Gastrointestinal Bleeding, Small Intestine Lymphoma: A Case Report

Iradj Maleki, Mohmoodreza Aminafshari, Zhila Torabizadeh, Maryam Barzin


The patient was a 67-year-old female who presented with severe rectal bleeding since three days prior to hospital admission. She complained of mild abdominal pain. Rectal examination revealed the presence of fresh blood and a clot. She had a normal upper endoscopy. A colonoscopy showed a large clot with bloody secretions up to the cecum, with no obvious origin. Because of the severity of bleeding, a laparotomy was performed. Resection included large areas of the ileum and jejunum which were involved. Pathology report was remarkable for diffuse large B cell lymphoma.


Lymphoma; Gastrointestinal bleeding; Abdominal pain; Laparotomy

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