T-lymphoblastic lymphoma initially presenting as massive ascites

A 43-year-old man presented with a two-week history of abdominal distention. Laboratory testing showed marked leukocytosis (28,000/ µL). Computed tomography (CT) revealed massive ascites (Fig. 1A, coronal image) and abdominal paracentesis showed atypical lymphocytes (Fig. 1B). Positron emission tomography-CT revealed a focal area of increased fluorodeoxyglucose uptake (Fig. 1C, coronal image, arrow) in the descending colon t hat corresponded to a circumferential submucosal lesion, as confirmed by colonoscopy (Fig. 1D).

Source: Digestive and Liver Disease - April 4, 2020 Category: Gastroenterology Authors: Yasuhiko Hamada, Hiroyuki Inoue, Masaki Katsurahara, Yoshiyuki Takei Tags: Image of the Month Source Type: research