Hemorragia digestiva baixa maciça como apresentação de linfoma primário do cólon: relato de caso e revisão de literatura
Lower gastrointestinal bleeding secondary to primary limphoma of the colon: case report and literature review
DOI:
https://doi.org/10.34119/bjhrv5n5-147Keywords:
Hemorragia Digestiva Baixa, LinfomaAbstract
O linfoma primário do cólon é uma entidade rara, compreendendo menos de 0,5% de todos os tumores da região. A apresentação inicial do quadro é por vezes inespecífica, dificultando um diagnóstico precoce e levando a complicações como obstrução, perfuração intestinal e hemorragia. Apesar de infrequente, a hemorragia intestinal baixa por tumor linfoide do cólon pode se apresentar de forma maciça, com instabilidade hemodinâmica e oferecendo risco de morte. Várias são as opções diagnósticas e terapêuticas na urgência, incluindo terapia endoscópica, por radiologia intervencionista ou cirurgia.
References
Leo F. Tauro, Harold W. Furtado, Panambur S. Aithala, Clement S. D'Souza, Celine George, Santhrupth H. Vishnumoorthy. Primary Lymphoma of the Colon.Saudi J Gastroenterol. 2009 Oct; 15(4): 279–282.
Dawson IM, Cornes JS, Morson BC. Primary malignant lymphoid tumours of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg. 1961;49:80-9.
Pandey, M., Swain, J., Iyer, H.M. et al. Primary lymphoma of the colon: report of two cases and review of literature. World J Surg Onc 17, 18 (2019). https://doi.org/10.1186/s12957-018-1548-6
Gunjan D, Sharma V, Rana SS, Bhasin DK. Small bowel bleeding: a comprehensive review. Gastroenterol Rep (Oxf). 2014;2:262-275.
Aoki T, Hirata Y, Yamada A, Koike K. Initial management for acute lower gastrointestinal bleeding. World J Gastroenterol 2019; 25(1): 69-84 [PMID: 30643359 DOI: 10.3748/wjg.v25.i1.69]
Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Oakland K, Guy R, Uberoi R et al. Acute lower GI bleeding in the UK: patient characteristics, interventions and outcomes in the first nationwide audit. Gut 2018; 67: 654–662
Ozdil B, Akkiz H, Sandikci M et al. Massive lower gastrointestinal hemorrhage secondary to rectal hemorrhoids in elderly patients receiving anticoagulant therapy: case series. Dig Dis Sci 2010; 55: 2693–2694
Oakland K, Guy R, Uberoi R, Hogg R, Mortensen N, Murphy MF, Jairath V; UK Lower GI Bleeding Collaborative. Acute lower GI bleeding in the UK: patient characteristics, interventions and outcomes in the first nationwide audit. Gut. 2018;67:654–662.
Mohammed Ilyas MI, Szilagy EJ. Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding. Clin Colon Rectal Surg. 2018;31:243–250.
Laursen SB, Oakland K, Laine L et al. ABC score: a new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: an international multicentre study. Gut 2021; 70: 707–716
Aoki T, Nagata N, Shimbo T et al. Development and validation of a risk scoring system for severe acute lower gastrointestinal bleeding. Clin Gastroenterol Hepatol 2016; 14: 1562–1570.e2
Sengupta N, Tapper EB. Derivation and internal validation of a clinical prediction tool for 30-day mortality in lower gastrointestinal bleeding. Am J Med 2017; 130: 601.e1– 601.e8
Quach DT, Nguyen NT-M, Vo UP-P et al. Development and validation of a scoring system to predict severe acute lower gastrointestinal bleeding in Vietnamese. Dig Dis Sci 2021; 66: 823–831
Chong V, Hill AG, MacCormick AD. Accurate triage of lower gastrointestinal bleed (LGIB) – A cohort study. Int J Surg 2016; 25: 19–23
Oakland K, Jairath V, Uberoi R et al. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study. Lancet Gastroenterol Hepatol 2017; 2: 635–643
Hreinsson JP, Sigurdardottir R, Lund SH et al. The SHA2PE score: a new score for lower gastrointestinal bleeding that predicts low-risk of hospital-based intervention. Scand J Gastroenterol 2018; 53: 1484–1489
Oakland K, Kothiwale S, Forehand T et al. External validation of the Oakland score to assess safe hospital discharge among adult patients with acute lower gastrointestinal bleeding in the US. JAMA Netw Open 2020; 3: e209630
Medicina de emergência – aberdagem pratica manole 2019
Management of Patients with Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol. 2016 Apr; 111(4): 459–474.
Foley PT, Ganeshan A, Anthony S et al. Multi-detector CT angiography for lower gastrointestinal bleeding: Can it select patients for endovascular intervention? J Med Imaging Radiat Oncol 2010; 54: 9–16
Primary diffuse large B-cell lymphoma of the sigmoid colon. Int J Surg Case Rep. 2021 Oct; 87: 106454. Published online 2021 Sep 28
Cai Y.B., Chen H.Y., He J.J. The role of surgical intervention in primary colorectal lymphoma: a SEER population-based analysis. Oncotarget. 2016;7(44):72263
