{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:09:23Z","timestamp":1792015763718,"version":"4.4.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Primary small intestinal B cell lymphoma is a rare and often presents in its complicated form with the presence of perforation, obstruction, or bleeding. We present a 74-year-old woman with nonspecific complaints of persistent constipation. Ultrasound and computed tomography revealed a tumor of the ileum with obstruction and dilation of the intestine. The patient underwent small bowel resection with total hysterectomy. A suspected etiological factor with oncological potential in her is the long-term use of levothyroxine for Hashimoto\u2019s thyroiditis.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf253","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T18:46:22Z","timestamp":1745865982000},"source":"Crossref","is-referenced-by-count":5,"title":["Diffuse B cell large ileal lymphoma presenting with obstruction and associated with Hashimoto\u2019s thyroiditis"],"prefix":"10.1093","volume":"2025","author":[{"given":"Shumarova","family":"Svetlana","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital \u201cAleksandrovska\u201d Sofia, Bulgaria, Medical University , Sofia ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koleva","family":"Liliya","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Faculty of Medicine, Medical University of Sofia Bulgaria, UMBALSM \u201cPirogov\u201d , Sofia ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karamisheva","family":"Vesela","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Medical University of Sofia Bulgaria, SBALAG \u201cMaichin dom\u201d , Sofia ,","place":["Bulgaria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"2025042814461654200_ref1","doi-asserted-by":"publisher","first-page":"3414302","DOI":"10.1155\/2022\/3414302","article-title":"Analysis of 78 cases of primary gastrointestinal lymphoma","volume":"2022","author":"Xiang","year":"2022","journal-title":"J Healthcare Eng"},{"key":"2025042814461654200_ref2","doi-asserted-by":"publisher","first-page":"320","DOI":"10.4166\/kjg.2021.082","article-title":"Clinical features and prognosis of patients with primary intestinal B-cell lymphoma treated with chemotherapy with or without 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Crohn\u2019s disease","volume":"2024","author":"Herbawi","year":"2024","journal-title":"J Surg Case Rep"},{"key":"2025042814461654200_ref6","doi-asserted-by":"publisher","first-page":"1404298","DOI":"10.3389\/fonc.2024.1404298","article-title":"Primary intestinal diffuse large B-cell lymphoma: novel insights and clinical perception","volume":"14","author":"Chen","year":"2024","journal-title":"Front Oncol"},{"key":"2025042814461654200_ref7","volume-title":"Diffuse Large B-Cell Lymphoma","author":"Padala","year":"2025"},{"key":"2025042814461654200_ref8","doi-asserted-by":"publisher","first-page":"937871","DOI":"10.3389\/fendo.2022.1105073","article-title":"Cancer risk in Hashimoto's thyroiditis: a systematic review and meta-analysis","volume":"13","author":"Hu","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"key":"2025042814461654200_ref9","doi-asserted-by":"publisher","first-page":"2533","DOI":"10.1111\/cas.14908","article-title":"Risk of cancer in long-term levothyroxine users: retrospective population-based study","volume":"112","author":"Wu","year":"2021","journal-title":"Cancer Sci"}],"container-title":["Journal of Surgical Case 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