Turkish Journal of Geriatrics 2017 , Vol 20, Issue 4
ACUTE PANCREATITIS CAUSED BY PRIMARY PANCREATIC LYMPHOMA IN A GERIATRIC PATIENT WITH SARCOIDOSIS: REPORT OF A COMPLEX CASE
Diğdem ÖZER ETİK1, Nuretdin SUNA1, Merih TEPEOĞLU2, Mehmet COŞKUN3, Haldun SELÇUK1
1Baskent University, Ankara Hospital Department of Gastroenterology ANKARA
2Baskent University, Ankara Hospital Department of Pathology ANKARA
3Baskent University, Ankara Hospital Department of Radiology ANKARA
The purpose of reporting this case is to raise the awareness of the rapid worsening clinical presentation of acute pancreatitis in an older patient, unexpected encounter with pancreatic lymphoma, and sarcoidosis–lymphoma syndrome. An 80-year-old woman was diagnosed with sarcoidosis 16 years ago. Following recent hospitalization because of acute pancreatitis, non-obstructive and non-invasive pancreatic mass was found on radiological images. Histopathology confirmed the mass to be diffuse large B-cell lymphoma. We report this case because of its complicated the etiology of acute pancreatitis in an older patient, presentation of pancreatic lymphoma, and immune pathogenesis of sarcoidosis-lymphoma syndrome. Keywords : Pancreatitis; Lymphoma, Non-Hodgkin; Sarcoidosis