Case Report
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World J Clin Cases. May 16, 2014; 2(5): 146-150
Published online May 16, 2014. doi: 10.12998/wjcc.v2.i5.146
Primary colonic lymphoma: An incidental finding in a patient with a gallstone attack
Silvia Gigli, Valeria Buonocore, Flavio Barchetti, Marianna Glorioso, Martina Di Brino, Pietro Guerrisi, Chiara Buonocore, Francesco Giovagnorio, Guglielmo Giraldi
Silvia Gigli, Valeria Buonocore, Flavio Barchetti, Marianna Glorioso, Martina Di Brino, Pietro Guerrisi, Francesco Giovagnorio, Department of Radiological Sciences, “Sapienza” University of Rome, Umberto I Hospital, 00161 Rome, Italy
Chiara Buonocore, Department of Nursing Science, “Sapienza” University of Rome, 00185 Rome, Italy
Guglielmo Giraldi, Department of Public Health and Infectious Diseases, Sanarelli Building, “Sapienza” University of Rome, 00185 Rome, Italy
Author contributions: Gigli S and Buonocore V designed and wrote the manuscript; Barchetti F collected the patient’s clinical data and selected the case; Glorioso M and Di Brino M selected images and assisted the composition of the manuscript; Guerrisi P and Buonocore C examined the patient; Giovagnorio F performed CT and US exams; Giraldi G supervised all phases of the drafting of this manuscript.
Correspondence to: Guglielmo Giraldi, MD, Department of Public Health and Infectious Diseases, Sanarelli Building, “Sapienza” University of Rome, P.le Aldo Moro 5, 00185 Rome, Italy. guglielmo.giraldi@uniroma1.it
Telephone: +39-06-49914489 Fax: +39-06-4454845
Received: December 5, 2013
Revised: March 18, 2014
Accepted: April 11, 2014
Published online: May 16, 2014
Processing time: 162 Days and 8.8 Hours
Core Tip

Core tip: The authors report their experience with a largely primary colonic lymphoma (PCL) incidentally detected in a patient presenting a gallbladder attack. PCL is a rare disease (less than 1% of all colorectal malignancies). Symptoms are unspecific and it is usually quite advanced by the time diagnosis is made. In this case, patient showed symptoms of gallbladder disease and presented a large bulky mass at physical exam. The authors pay particular attention in describing clinic and diagnostic findings which suggested the correct final diagnosis of PCL. The role of ultrasound and computed tomography exams with the respective radiological features are described.