Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2019; 7(8): 984-991
Published online Apr 26, 2019. doi: 10.12998/wjcc.v7.i8.984
Diagnosis of follicular lymphoma by laparoscopy: A case report
Cheng Wei, Feng Xiong, Zhi-Chao Yu, De-Feng Li, Ming-Han Luo, Ting-Ting Liu, Ying-Xue Li, Ding-Guo Zhang, Zheng-Lei Xu, Hong-Tao Jin, Qi Tang, Li-Sheng Wang, Jian-Yao Wang, Jun Yao
Cheng Wei, Feng Xiong, Zhi-Chao Yu, De-Feng Li, Ming-Han Luo, Ting-Ting Liu, Ying-Xue Li, Ding-Guo Zhang, Zheng-Lei Xu, Hong-Tao Jin, Qi Tang, Li-Sheng Wang, Jun Yao, Department of Gastroenterology, Jinan University of Second Clinical Medical Sciences, Shenzhen Municipal People’s Hospital, Shenzhen 518020, Guangdong Province, China
Jian-Yao Wang, Department of General Surgery, Shenzhen Children’s Hospital, Shenzhen 518026, Guangdong Province, China
Author contributions: Wei C, Xiong F, and Yu ZC contributed equally to this work; Wei C designed and wrote the report; Xiong F and Yu ZC reviewed the manuscript for its intellectual content and revised the entire work; Li DF and Luo MH performed the histological assessments and evaluations; Wang LS, Wang JY, and Yao J reviewed the manuscript for its intellectual content; all authors have read and approved the final manuscript.
Supported by The National Natural Science Foundation of China, No. 81800489; and Technical Research and Development Project of Shenzhen, No. JCYJ20170307100538697.
Informed consent statement: The patient involved in this study gave written informed consent authorizing the use and disclosure of his protected health information.
Conflict-of-interest statement: The authors of this manuscript have no conflicts of interest to disclose.
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 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/
Corresponding author: Jun Yao, PhD, Doctor, Department of Gastroenterology, Jinan University of Second Clinical Medical Sciences, Shenzhen Municipal People’s Hospital, 1017 East Gate Road, Shenzhen 518020, Guangdong Province, China. yj_1108@126.com
Telephone: +86-755-22943322 Fax: +86-755-25533497
Received: October 19, 2018
Peer-review started: October 22, 2018
First decision: November 27, 2018
Revised: January 28, 2019
Accepted: February 18, 2019
Article in press: February 18, 2019
Published online: April 26, 2019
Processing time: 189 Days and 0.6 Hours
Abstract
BACKGROUND

Over the past years, only few cases of follicular lymphoma diagnosed by laparoscopy have been reported in the world. Since follicular lymphoma related ascites often causes occult disease and lacks specific clinical manifestations, it is often difficult to identify the cause by routine laboratory tests and imaging methods. Diagnostic experience is not sufficient and more cases need to be accumulated for further analysis.

CASE SUMMARY

Ascites due to unknown reasons often causes problems for clinical diagnosis and treatment. In this paper, we report one case with ascites in whom the reason causing ascites was not identified through routine examination. Laparoscopic examination of the celiac lesions and histological examination of the lesions were performed and the final diagnosis was peritoneal follicular lymphoma.

CONCLUSION

Laparoscopic abdominal examination is of great significance for the definite diagnosis of ascites due to an unknown reason.

Keywords: Follicular lymphoma; Laparoscopy; Ascites; Case report

Core tip: Over the past years, only few cases of follicular lymphoma diagnosed by laparoscopy have been reported in the world. Since follicular lymphoma related ascites often causes occult disease and lacks specific clinical manifestations, it is often difficult to identify the cause by routine laboratory tests and imaging methods. Diagnostic experience is not sufficient and more cases need to be accumulated for further analysis.