{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:55:42Z","timestamp":1789836942611,"version":"4.0.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>DLBCL with gastrointestinal involvement is a relatively rare form of extra-nodal lymphoma, and complications such as spontaneous perforation and jejunal stricture in this disease are even rarer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 45-year-old male presented with abdominal pain and vomiting. Diagnosis revealed a jejunal stricture with perforation, necessitating resection and anastomosis. Histopathology performed after surgery confirmed DLBCL, and the patient was referred for chemotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>DLBCL with gastrointestinal involvement is uncommon and often manifests with nonspecific symptoms, leading to diagnostic delays. Treatment includes addressing both lymphoma and associated complications, with surgical intervention reserved for emergencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bowel perforation and jejunal stricture in non-Hodgkin's lymphoma are serious complications requiring prompt treatment to improve outcomes and reduce mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110375","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T02:16:21Z","timestamp":1727662581000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Diffuse large B cell non-Hodgkin lymphoma complicated with jejunal stricture and perforation"],"prefix":"10.1097","volume":"124","author":[{"given":"Prajjwol","family":"Luitel","sequence":"first","affiliation":[{"name":"Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishwor","family":"Thapaliya","sequence":"additional","affiliation":[{"name":"Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujan","family":"Paudel","sequence":"additional","affiliation":[{"name":"Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simanta","family":"Khanal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ratan","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawan","family":"Sapkota Upadhya","sequence":"additional","affiliation":[{"name":"Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-59-20260421","doi-asserted-by":"crossref","DOI":"10.14309\/00000434-201610001-02177","article-title":"Diff use large B-cell non-Hodgkin's lymphoma presenting as gastrointestinal bleeding [internet]","volume":"111","author":"Gonzalez,","year":"2016","journal-title":"Am. J. Gastroenterol."},{"issue":"10","key":"R2-59-20260421","doi-asserted-by":"crossref","first-page":"S1654","DOI":"10.14309\/01.ajg.0000958964.66631.2e","article-title":"S2331 case report: a case of diffuse large B-cell lymphoma with gastrointestinal involvement","volume":"118","author":"Alabbas,","year":"2023","journal-title":"Am. J. Gastroenterol."},{"issue":"2","key":"R3-59-20260421","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.6994","article-title":"Spontaneous perforation of primary gastric diffuse large B-cell lymphoma","volume":"11","author":"Daoud,","year":"2023","journal-title":"Clin. Case Reports"},{"issue":"6","key":"R4-59-20260421","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1111\/j.1365-2141.2007.06950.x","article-title":"Intestinal strictures: a new complication of treatment for primary gastrointestinal diffuse large B-cell lymphoma","volume":"140","author":"Kerr,","year":"2008","journal-title":"Br. J. Haematol."},{"issue":"3","key":"R5-59-20260421","first-page":"412","article-title":"Perforated gastric diffuse large B-cell lymphoma: a case report and literature review","volume":"84","author":"Ceniceros-Cabrales,","year":"2019","journal-title":"Rev. Gastroenterol. Mex. (Engl. Ed.)"},{"issue":"4","key":"R6-59-20260421","article-title":"Primary Gastrointestinal Diffuse Large B-cell Lymphoma Presenting as Ileal Perforation","volume":"15","author":"Rumney","year":"2023","journal-title":"Cureus"},{"issue":"5","key":"R7-59-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"1","key":"R8-59-20260421","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgast-2019-000320","article-title":"Gastrointestinal lymphoma: the new mimic","volume":"6","author":"Shirwaikar Thomas,","year":"2019","journal-title":"BMJ Open Gastroenterol."},{"issue":"1","key":"R9-59-20260421","doi-asserted-by":"crossref","first-page":"38","DOI":"10.28991\/SciMedJ-2023-05-01-05","article-title":"Case report on diffuse large B-cell non-Hodgkin lymphoma with a spontaneous bowel perforation","volume":"5","author":"Makhandule,","year":"2023","journal-title":"SciMed J."},{"issue":"2","key":"R10-59-20260421","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1097\/MPH.0b013e3181ef0402","article-title":"Jejunal Stricture","volume":"33","author":"Gupta,","year":"2011","journal-title":"J. Pediatr. Hematol. 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