DOI: 10.36347/sjmcr.2017.v05i11.015

Pages: 744-746

Primary colonic lymphomas are rare tumors of the gastrointestinal tract and an uncommon site for primary lymphomas. Patients with primary colonic lymphomas rarely present with symptoms of bowel obstruction as colonic lymphomas lack desmoplastic reaction and tend to be more pliable than adenocarcinomas. We report a case of a gentleman presenting with obstructed descending colon lymphoma. He underwent emergency left hemicolectomy and the histopathological specimen was reported to be a Non-Hodgkin’s Diffuse Large B-Cell Lymphoma (DLBCL) NOS. He went on to complete 6-cycles of R-CHOP chemotherapy. Patient recovered well and remains disease free. Surgical resection and adjuvant chemotherapy remains the mainstay of treatment with the best outcome in terms of disease free and overall survival.