Wang KW, Xiao N. Intestinal perforation with abdominal abscess caused by extramedullary plasmacytoma of small intestine: A case report and literature review. World J Gastrointest Surg 2022; 14(6): 611-620 [PMID: 35979418 DOI: 10.4240/wjgs.v14.i6.611]
Corresponding Author of This Article
Ke-Wei Wang, MD, PhD, Associate Professor, Surgeon, Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, Shenyang 110001, Liaoning Province, China. kwwang@cmu.edu.cn
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jun 27, 2022; 14(6): 611-620 Published online Jun 27, 2022. doi: 10.4240/wjgs.v14.i6.611
Intestinal perforation with abdominal abscess caused by extramedullary plasmacytoma of small intestine: A case report and literature review
Ke-Wei Wang, Nan Xiao
Ke-Wei Wang, Nan Xiao, Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China
Author contributions: Wang KW reviewed the literature and contributed to manuscript drafting; Xiao N was responsible for the collection and analysis of case data; and all authors issued final approval for the version to be submitted.
Supported bythe Natural Science Foundation of Education Department of Liaoning Province, No. QNZR2020008.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ke-Wei Wang, MD, PhD, Associate Professor, Surgeon, Department of Gastrointestinal Surgery, The First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, Shenyang 110001, Liaoning Province, China. kwwang@cmu.edu.cn
Received: September 27, 2021 Peer-review started: September 27, 2021 First decision: January 12, 2022 Revised: January 26, 2022 Accepted: May 22, 2022 Article in press: May 22, 2022 Published online: June 27, 2022 Processing time: 273 Days and 2.5 Hours
Abstract
BACKGROUND
Extramedullary plasmacytoma (EMP) of the gastrointestinal tract is an extremely rare disease. Clinical manifestations of EMPs are varied and depend on the location and progression of the tumor.
CASE SUMMARY
Here, we firstly report a case of intestinal perforation with abdominal abscess caused by EMP of the small intestine in a 55-year-old female patient. The patient received emergency surgery immediately after the necessary preoperative procedures. During the operation, EMP was found to have caused the perforation of the small intestine and the formation of multiple abscesses in the abdominal cavity. Partial resection of the small intestine with peritoneal irrigation and drainage was performed. EMP was finally confirmed by postoperative histopathology and laboratory tests. Additionally, we performed a literature review of gastrointestinal EMP to obtain a deeper understanding of this disease.
CONCLUSION
EMP of the small intestine may have spontaneous perforation, which requires emergency surgery. Surgical resection can obtain good therapeutic effects.
Core Tip: Extramedullary plasmacytoma (EMP) of the gastrointestinal tract is an extremely rare disease, accounting for only 7% of all EMPs. Clinical manifestations of EMPs are varied and depend on the location and progression of the tumor. Here, we firstly report a case of intestinal perforation with abdominal abscess caused by EMP of the small intestine in a 55-year-old female patient. Additionally, we discussed the diagnosis and treatment of gastrointestinal EMP after a review of the literature worldwide to provide an overview of this disease.
