克罗恩病的诊断与外科治疗

目的:探讨克罗恩病(CD)临床表现的多样性及其诊断与外科治疗。方法:回顾性分析了近5年以来收治的15例克罗恩病患者的临床资料。结果:15例患者中,男女比1.5∶1,平均年龄40岁,平均病程3.5年。腹痛(73.3%)、腹泻(40%)为本组住院CD为最常见的胃肠道表现,另外便血和腹部包块各占26.6%和20%。全身表现为贫血(46.6%)、消瘦(33.3%)及发热(33.3%)为主。病变常累及回盲部(53.3%)和回肠末端(40%)。结肠镜检查病变呈节段性分布,深而大的溃疡多呈纵形或铺路石样表现并有不同重度的狭窄者占58.3%,经过活检非干酪性肉芽肿者为41%。术后病检诊断率86.6%,内镜诊断率33.3%及X线胃肠道造影诊断率6.6%。本组病例中46.6%的患者因肠梗阻行手术治疗。结果:CD临床表现复杂多样,活检标本的诊断价值有限,误诊率较高,需结合病史、临床表现、辅助检查及病理分析综合考虑得以确诊。当本病并发肠梗阻、消化道大出血、肠穿孔、肠瘘、腹膜炎、腹腔脓肿等是外科治疗的适应证。对于病变局限于某一肠段,症状反复发作,且正规内科治疗效果不显著者宜外科手术治疗。     

Abdominal tuberculosis--a retrospective analysis of 121 cases.

From 1960 to 1989, a total of 121 patients with abdominal tuberculosis were treated at this hospital. Ages, at the time of diagnosis, ranged from 14 years to 81 years with a mean of 44 years. There were 86 males and 35 females. No clinical feature was diagnostic, but the leading presenting complaints were abdominal pain (79%) and fever (53%). Chest x-ray showed that 80 patients (69%) had coexisting evidence of pulmonary tuberculosis. Lesions were most commonly located at the ileocecal region (40%). The diagnosis was bacteriologically established in only 39 patients (32%). It was difficult to obtain the definitive diagnosis, most of our patients (91 cases) were diagnosed while undergoing laparotomy with tissue biopsy. Although the principal treatment of abdominal tuberculosis was chemotherapy and operation should be reserved until complications occurred, there were still 96 patients (79%) who underwent surgical procedures. The reasons of high operative rate were the difficulty of early diagnosis and the delay of proper treatment. The common complications of abdominal tuberculosis and the related managements were discussed and the findings in our cases which were helpful in diagnosing abdominal tuberculosis were also presented. Sixteen severely ill patients who died tended to be older, poor nutrition and associated with underlying medical diseases. Abdominal tuberculosis is still persistent in Taiwan, and it must be included in the differential diagnosis of obscure abdominal conditions to avoid diagnostic delay and unnecessary illness and death.     

原发性肠道淋巴瘤41例诊断情况分析

目的原发性肠道淋巴瘤术前诊断困难,误诊、漏诊率较高。本研究拟以手术病理为金标准,探讨其术前误诊、漏诊原因,总结经验教训,以提高临床诊疗水平。方法收集近10年来接受手术治疗的41例原发性肠道淋巴瘤患者的病历资料,分析其诊断情况、临床表现、内镜及影像学检查资料。结果原发性肠道淋巴瘤患者的临床表现以腹痛(33/41,80.5%)、腹部包块(19/41,46.3%)常见,并发症中以消化道出血多见(7/20,35.0%)。术前拟诊为原发性肠道淋巴瘤者6例(14.6%),未定性诊断的25例(63.4%)患者主要系内镜病理未证实或影像学检查征象无特异性,误诊/漏诊的9例(22.0%)患者术前分别被诊断为单纯性肠梗阻、肠穿孔、肠套叠、结肠癌、阑尾病变、炎症性肠病、肠结核。结论加强对原发性肠道淋巴瘤的认识,细致的病史采集和体格检查,选择合适的辅助检查,加强与内镜、影像、病理科医师的交流协作,将有助于降低误诊、漏诊率,提高临床诊断水平。     

国产OMOM胶囊内镜诊断不明原因腹痛159例临床分析

目的了解国产OMOM胶囊内镜在不明原因腹痛中的诊断价值。方法 2005年10月至2011年9月,应用OMOM胶囊内镜对159例慢性腹痛患者(腹痛组)和268例无任何症状的查体者(查体组)进行检查,对诊断结果进行相关统计学分析。结果慢性腹痛组患者小肠黏膜病变的诊断阳性率为63.1%(99/157),明显高于健康查体人群的18.7%(50/268),两者比较有统计学意义(P<0.05);腹痛组99例小肠黏膜病变中以小肠黏膜非特异性炎症为最多,占39例(24.8%);其次为小肠血管畸形9例(5.7%);小肠肿瘤9例(5.7%);小肠淋巴组织增生8例(5.1%);小肠息肉6例(3.8%);小肠钩虫病6例(3.8%);小肠溃疡5例(3.2%);克罗恩病5例(3.2%);肠结核4例(2.5%);小肠蛔虫病3例(1.9%);小肠黄色瘤3例(1.9%);小肠脂肪瘤2例(1.3%);小肠未发现任何异常58例(36.9%)。结论国产OMOM胶囊内镜在不明原因腹痛的病因诊断中有良好的价值,临床安全性好。     

62例肠结核的临床分析

目的探讨肠结核的诊治经验。方法回顾分析近5年来62例肠结核患者的临床病例资料。结果肠结核临床表现以腹痛、腹泻、低热、消瘦为主。46例非手术治疗全愈,16例因完全性肠梗阻、肠穿孔、腹部肿块、急性腹膜炎等并发症而行手术治疗。结论胸片、钡灌肠、电子结肠镜加病变组织活检是诊断肠结核的有效手段,绝大多数患者可经内科药物治愈,出现严重并发症时才手术治疗。     

Extrapulmonary tuberculosis: clinical and epidemiologic spectrum of 636 cases

BACKGROUND: The aim of this study was to evaluate the percentage and characteristics of extrapulmonary tuberculosis (EPTB) cases in a Turkish industrial city, Kocaeli (population: 1,203,335) and to illustrate its extent as a serious health problem for this city and country. METHODS: We investigated the results of microbiologic, radiologic, and histopathologic findings of patients with extrapulmonary tuberculosis, retrospectively, who were admitted to four Tuberculous Dispensaries between 1996 and 2000. RESULTS: Six hundred thirty six cases were diagnosed with EPTB. Three hundred forty five were males (54.2%) and 291, females (45.8%). Mean age of patient cases was 22.5+/-17.1 years (range, 1-86 years); 41.4% of cases were <15 years of age and 30.9%, between 20 and 39 years of age. Contact history with tuberculosis cases was determined in 242 cases (38%); of these, 194 were <15 years of age (80.2%). The most common form of EPTB was observed to be lymph node tuberculosis (56.3%); of these cases, 256 (71.5%) had involvement in intrathoracic, 92 (25.7%) in cervical, and 10 (2.8%) in axillary lymph nodes. The second most frequent extrapulmonary form was pleural tuberculosis (31.1%). EPTB was diagnosed by histopathologic methods in 229 patients (36.0%) and by microbiologic methods in 27 (4.2%); tuberculin skin test was significantly positive (>10 mm) in 95.5% of patients. When cases were classified according to severity, 87 cases (13.7%) were found severe and 549 (86.3%) as less severe EPTB. Five hundred sixty one cases (88.2%) lived in urban areas and 75 (11.8%), in rural areas. CONCLUSIONS: EPTB is very common in early adulthood in the Kocaeli region, with lymph nodes the most common localization.     

鼻咽结核15例临床分析

目的：为提高鼻咽结核的临床诊断率。方法：对15例鼻咽结核进行回顾性分析，总结其临床特征，仅3例有肺结核史(20．0％)，8例以颈部包块为首发临床表现(53．3％)，11例初发时误诊为鼻咽部恶性肿瘤(73．3％)。结果：全部病例经正规抗结核药物治疗后痊愈，经6个月至2年随诊无复发。结论：鼻咽结核与鼻咽癌极易误诊，颈淋巴结肿大时要注意排除鼻咽结核并于鼻咽部恶性肿瘤相鉴别；鼻咽结核行全身抗痨治疗，同时应用5％链霉素局部灌洗，可显著提高疗效，缩短病程。     

Surgical manifestations and management of ascariasis in Kashmir.

Amongst 876 cases suffering from ascariasis 662 cases were managed conservatively and 214 cases were treated by surgery. Surgical complications were found to be more common in males in the age group of 6-10 years. Principal clinical features included pain abdomen (99.54%), constipation (80.25%), vomiting (67.46%), abdominal distension (47.03%), palpable worm masses in abdomen (35.50%), visible peristalsis (27.63%), worms in vomitus (24.20%) and palpable worm clumps on rectal examination (20.09%). Principal clinical diagnosis were worm colics (48.74%), sub-acute intestinal obstruction (27.74%), acute intestinal obstruction (11.42%) and acute intestinal obstruction with strangulation (5.71%); rest of the cases included worm cholecystitis (2.63%), obstructive jaundice (1.71%), bile peritonitis (0.91%), intestinal perforation (0.68%) and acute appendicitis (0.46%). Surgical procedures performed were milking of worms (34.12%), resection anastomosis of small intestine (23.36%), enterotomy with removal of worms (16.36%), cholecystectomy with T-tube drainage (12.15%), cholecystectomy (8.41%), appendectomy (1.87%), resection anastomosis with excision of Meckel's diverticulum (1.40%), repair of intestinal perforation with peritoneal toilet (1.40%) and cholecystectomy with choledochoduodenostomy (0.93%). In surgically managed patients 35 cases died of septicaemia and in conservatively managed cases 3 died of encephalitis with an overall mortality of 4.34%.     

Management of pericardial effusion by drainage: a survey of 10 years' experience in a city centre general hospital serving a multiracial population

The aim of the study was to determine the aetiology of large and symptomatic pericardial effusions and to review the management and subsequent outcome. A survey was done on a consecutive cases of patients who had undergone percutaneous pericardiocentesis over a 10 year period in a city centre general hospital serving a multiethnic catchment population. In all, 46 patients (24 male, 22 female; age range 16 to 90 years, mean 54 years) underwent a total of 51 pericardial drainage procedures (or attempted pericardiocentesis) between 1989 and 1998. Malignancy (44%), tuberculosis (26%), idiopathic (11%), and post-cardiac surgery (9%) were the most common causes of pericardial effusion. The most common presenting symptoms were breathlessness (90%), chest pain (74%), cough (70%), abdominal pain (61%) (presumed to be related to hepatic congestion), and unexplained fever (28%). In the 12 cases of tuberculous pericarditis, nine occurred in patients of Indo-Asian origin, and three in patients of Afro-Caribbean origin. Fever, night sweats, and weight loss were common among these patients, occurring in over 80% of cases of tuberculous pericarditis. Pulsus paradoxus was the most specific sign (100%) for the presence of echocardiographic features of tamponade, with strongest positive predictive value (100%). Although malignancy remains the most common cause in developed countries, tuberculous disease should be considered in patients from areas where tuberculosis is endemic. Percutaneous pericardiocentesis remains an effective measure for the immediate relief of symptoms in patients with cardiac tamponade, although its diagnostic yield in tuberculous pericarditis is relatively low.     

老年人肠梗阻多层螺旋CT扫描探讨

目的 老年人肠梗阻是临床常见急症,具有发病急、病情重、发展快等特点,总结老年人肠梗阻早期全腹螺旋CT扫描的意义.方法 回顾性分析三年来40例老年人肠梗阻早期行16层螺旋CT全腹扫描的影像表现,并与手术、病理结果对比,参阅文献资料.结果 40例老年人肠梗阻中,32例手术证实为结直肠癌,占80%,6例手术未发现肿物,为麻痹...     

海南省2015—2019年精神疾病合并结核病患者筛查及临床分析

目的 了解海南省精神疾病合并结核病情况 ,为海南省精神疾病合并结核病的预防和控制提供依据。 方法 精神疾病诊断和治疗按中国精神障碍分类与诊断标准第三版（精神障碍分类）执行,结核病诊断按《肺结核门诊诊疗规范（2012 年版 )》、《中华人民共和国卫生行业标准肺结核诊断标准（WS288-2017）》、《中国结核病防治规划实施工作指南(2020年版)》和《临床诊疗指南· 结核病分册》执行,以描述性流行病学分析方法收集海南省安宁医院2015年1月1日—2019年12月31日就诊精神疾病合并结核病患者的基本资料、流行病学特征以及院外监督治疗情况进行统计学分析。 结果 海南省安宁医院2015年1月1日—2019年12月31日共收就诊精神疾病患者15 426例,初筛疑似结核病患者59例,最终确诊合并结核病31例,合并结核病发生率为0.20%。31例精神疾病合并结核病患者中,男性18例,女性13例,年龄（43.8±11.2）岁。受教育时间为（6.5±5.2）年,家庭平均人口（4.5±1.6）人,精神疾病患病平均时间（5.5±2.3）年;未婚9例（29.0%）,现婚11例（35.5%）,离婚7例（22.6%）,丧偶4例（12.9%）;农民8例（25.8%）,无业23例（74.2%）。31例精神疾病合并结核病均按结核病督导和精神药物综合方案,经1年治疗干预,患者精神病评定量表（brief psychiatric rating scale,BPRS）总分为（29.08±1.98）,比治疗干预前（36.30±1.96）明显降低,精神病治疗效果明显（P<0.05）。14例涂阳结核病患者治愈7例,治愈率为50.0%,17例涂阴结核病患者完成治疗11例,规范治疗完成率为64.7%。结论 海南省精神疾病合并结核病患者发生率较高,且结核病治愈率低,应加强精神疾病专科医疗单位结核病筛查诊断能力培训,防止结核病误诊和漏诊,避免结核病在精神疾病院内传播,保护院内精神疾病患者治疗安全。     

缺血性结肠炎的临床特征及诊治探讨

目的 探讨缺血性结肠炎的临床特征、内镜下表现及治疗方法,提高对本病的认识,降低病死率.方法 回顾性分析东北地区2家医院收治的30例缺血性结肠炎病例临床资料,其中男性13例,女性17例.结论 30例患者中,平均年龄59.9岁,50岁以上多见(73.3%).急性25例,亚急性2例,慢性3例.临床表现以腹痛(93.3%),便血(83.3%),腹泻(43.3%)最多见.外周血白细胞计数73.3%超过正常,腹部B超检查80%提示肠管病变,腹部CT提示肠道病变.行结肠镜检查26例,病变部位多见于乙状结肠(55.6%)和降结肠(51.9%),镜下表现为黏膜充血、水肿(96.3%),糜烂(88.9%),与周围黏膜分界清晰(81.5%),多发溃疡(40.7%),有血迹(29.6%),肠管狭窄(25.9%)等.27例行内科治疗(止血,改善肠道血液供应,抗凝,抗生素,营养支持等),3例行手术治疗,治愈率为23.3%(7/30),缓解率为66.7%(20/30),无死亡患者.结论缺血性结肠炎多见于老年人,症状不典型,及时行结肠镜检查和影像学检查是提高诊断率的有效方法.对本病认识的提高,早期行抗凝,改善血液循环或手术治疗,可提高总体疗效,降低病死率.     

小肠间质瘤(SIST) 83例临床诊治分析

 目的 探讨小肠间质瘤(small intestinal stromal tumors,SIST)的临床特征和诊治方法。方法 回顾性分析我院从2006年1月至2010年1月经病理组织学确诊的83例SIST患者的临床资料。结果 SIST的临床表现无特异性,最常见的表现：消化道出血55例(66.3%),贫血32例(38.6%),腹痛腹胀26例(31.3%)。SIST好发部位最常见依次为空肠、十二指肠、回肠,分别为40例(48.2%)、29例(34.9%)、13例(15.7%),另有空回肠交界1例(1.2%)。螺旋CT对SIST诊断率为100% (77/77),诊断符合率为72.7% (56/77),在各项检查中最为准确。83例患者均接受手术治疗,术后病理结果显示：极低度危险性16例(19.3%)、低度危险性24例(28.9%)、中度危险性17例(20.5%)、高度危险性26例(31.3%)。术后免疫组织化学CD117阳性率为95.2% (79/83),CD34阳性率为75.9% (63/83)。术后5例病灶完整切除并且病理极低度危险性患者未口服甲磺酸伊马替尼治疗,3年未见复发;其余78例患者均口服甲磺酸伊马替尼治疗,3年随访期内,短期服药组(≤2年)复发率为77.3%(34/44),1年、3年生存率分别为65.9% (29/44)、31.8% (14/44);长期服药组(>2年)的复发率为41.2%(14/34),1年、3年生存率分别为100% (34/34)、82.4% (28/34),两组相比较差异均有统计学意义(P<0.05)。结论 SIST 临床表现无特异性,早期较难诊断,螺旋CT有较高的诊断价值,当前最主要的治疗方法是外科手术,术后长期服用甲磺酸伊马替尼可取得较好的远期疗效。     

Tuberculous peritonitis: a review of thirty-five cases.

The clinical course of 35 patients with tuberculous peritonitis notified in Kandy (Sri Lanka) over a 6-year period has been reviewed. The maximum incidence occurred in the age group 21 to 40 years and the female/male ratio was 3:2. Clinical features were non-specific and the main presenting features were fever (68.5%), abdominal pain (65.7%), abdominal distension (54.2%), abdominal mass (54.2%) and ascites (45.7%). The symptoms were of insidious onset and 85% had symptoms for more than one month. Chest X-ray revealed abnormality suggestive of tuberculosis in 47%. Intra-abdominal tuberculosis was suspected in 43% of 26 patients before laparotomy. Four of the 32 patients given anti-tuberculous drugs died. Overall mortality was 20%.     

脾结核21例临床分析

目的探讨脾结核的临床表现、诊断及治疗措施。方法对21例脾结核患者的临床资料进行回顾性分析。结果 21例患者中,有发热症状者16例(76.2%),热程3天～1年不等,2周～3个月占81.3%。有腹胀、腹痛症状为12例(57.1%),乏力、食欲不振、消瘦、盗汗等结核中毒症状者18例(85.7%),以停经为症状1例。脾切除术后病理确诊2例,浅表淋巴结活检术后组织病理确诊2例,痰抗酸染色阳性确诊4例,胸腰椎手术病灶清除脓肿病理确诊2例,肠镜活检病理确诊1例,骨髓活检病理确诊1例。还有9例是结合患者临床表现及各项检查明确。21例患者中19例接受正规抗结核保守治疗,患者临床症状好转,血沉恢复正常。2例因经济原因放弃治疗,但经前期治疗临床症状有所改善。结论脾结核以长程发热为突出表现,误诊率高,诊断可结合其他脏器(如肺脏、淋巴结)病变明确。早期发现及系统性抗结核治疗可避免行脾切除术。     

结肠镜下良性回盲部溃疡的临床特征分析

目的 分析结肠镜发现的良性回肠末端和/或回盲瓣溃疡的病例特点和病理特点.方法 回顾性分析2000年1月至2005年12月在北京大学第一医院消化内科进行结肠镜检查的门诊或住院患者的临床资料,入选标准为末端回肠和/或回盲瓣溃疡,直径≥0.2 cm,数目≤3个.入选31例患者,平均年龄47岁±17岁,男17例,女14例.结果 症状包括腹痛、腹泻、便秘、便血、发热、体重下降等,以腹痛最为常见,占64.5%(20/31),右下腹痛占19.4%(6/31).溃疡最大直径0.2～1.0 cm者20例,＞1.0 cm者11例.溃疡发生在回盲瓣或回结肠吻合日者分别为17例和3例,末端回肠7例,回盲瓣和末端回肠均有者4例.单发溃疡17例,多发溃疡14例.溃疡边缘清晰,溃疡周围及溃疡之间的黏膜正常.活检病理组织学表现多无特异性.14例未能确定病因,其中12例为小型溃疡患者.10例患者诊断为克罗恩病,其他诊断包括肠结核(2例)、缺血性肠炎(2例)、Behcet's病(1例)、艾滋病相关(1例)和阿司匹林相关(1例).结论 良性回盲部溃疡多表现为腹痛,但并不一定存在右下腹痛;病理组织学检查多无特异性表现,但有时能提供关键性证据;回盲部溃疡病因学诊断困难,需综合分析所有临床资料.     

艾滋病合并结核病87例临床分析

目的探讨艾滋病合并结核病的临床特点。方法选择2004年1月至2009年10月本院收治的87例艾滋病合并结核病患者,回顾性分析患者的临床表现、实验室检查结果、治疗及转归。结果87例患者的临床特点:多为青壮年(87.4%),男性多发(4.8∶1),年龄跨度大。临床症状:发热71例(81.6%),以持续高热为主;咳嗽咳痰65例(74.7%),气促20例(23.0%),腹痛、腹泻15例(17.2%),消瘦51例(58.6%),浅表淋巴结肿大19例(21.8%);低蛋白血症、电解质紊乱、血细胞沉降率和C反应蛋白升高、外周血白细胞和淋巴细胞下降较常见。结论艾滋病合并结核病患者临床表现复杂多样,淋巴结核常见,肺部病灶影像表现无特征性,结核菌素试验阳性率低,CD4+细胞明显降低,易合并多种机会感染,常发生并发症。     

胶囊内镜对小肠出血的病因诊断分析

目的 分析拟诊小肠出血并行胶囊内镜（capsule endoscopy,CE）检查患者的临床内镜特点及其小肠出血的病因。方法 纳入2010年1月至2018年9月于首都医科大学附属北京世纪坛医院拟诊小肠出血并首次行CE检查的全部患者。收集患者的一般资料、CE发现、临床诊断和病因等。结果 本研究共纳入93例患者,1例（1.1%）患者发生CE滞留情况。患者年龄14~94岁,平均年龄（59.7±19.4）岁,男性58例（62.4%）,应用非甾体抗炎药（non-steroid anti-inflammatory drugs,NSAIDs）者37例（39.8%）,住院患者87例（93.5%）。显性出血者较隐匿性出血者住院比例更高、血红蛋白浓度更低（P<0.05）。CE检出小肠炎性反应最多（53/93）,小肠血管疾病次之（18/93）。74.2%（69/93）患者明确小肠出血原因,包括：NSAIDs相关性小肠病26例、小肠毛细血管扩张14例、克罗恩病 5例、不明原因小肠溃疡5例、小肠淋巴管扩张症5例、门脉高压性小肠病4例、肠道寄生虫病4例、Meckel's憩室3例、嗜酸性粒细胞性胃肠炎1例、隐源性多灶性溃疡性狭窄性小肠炎1例和小肠恶性血管球瘤1例。显性和隐匿性出血者分别有75.0%（51/68）和72.0%（18/25）患者明确了出血原因（P=0.769）。结论 CE对小肠出血的病因诊断具有重要意义。小肠炎性反应特别是NSAIDs相关性小肠病是本中心引起小肠出血最为常见的原因。     

老年新型冠状病毒Delta变异株感染者的胸部CT表现

目的 探讨老年新型冠状病毒Delta变异株感染者的胸部CT表现及临床特征。方法对56例老年新型冠状病毒Delta变异株感染者行胸部CT扫描,回顾性分析所选病例的影像、临床资料。结果56例老年新型冠状病毒Delta变异株感染者入院时临床症状主要表现为咳嗽31例（55.4%）,咳痰20例（35.7%）,发热15例（26.8%）,肌肉酸痛及疲乏6例（10.7%）,无症状12例（21.4%）;实验室检查外周血C反应蛋白升高32例（57.1%）,外周血白细胞计数正常48例（85.7%）,降低7例（12.5%）,淋巴细胞计数正常27例（48.2%）,降低29例（51.8%）;入院后临床分型为普通型41例(73.2%),重型、危重型15例（26.8%）。CT表现以磨玻璃密度影为主,共52例（92.9%）,双肺受累50例（89.3%）,单肺受累6例（10.7%）;累及上叶44例（78.6%）,中叶27例（48.2%）,下叶46例（82.1%）,其中3个肺叶受累12例（21.4%）,4个肺叶受累8例（14.3%）,5个肺叶受累24例（42.9%）。结论老年人群感染新型冠状病毒Delta变异株的重症患者比例较高。老年新型冠状病毒Delta变异株感染者的CT表现为双肺多发磨玻璃密度影,以双肺上叶、下叶胸膜下分布为主,且累及多个肺叶;临床表现主要为咳嗽、咳痰及发热,部分确诊患者可表现无症状。     

Evaluation of 35 cases of abdominal lymphoma

Abdominal lymphoma is not a common clinical entity in Bangladesh. Still, in our Clinical practice we come across such problem occasionally. Because of their rarity and variable unusual behaviour, such case may present a major challenge even to experienced clinicians. Thirty five cases are reported in this series of which 29 were male and 6 were female (M:F = 4.8:1). Cases were collected from BSMMU, DMCH, MMCH, different clinics of Dhaka. Mean age was 36.7 years. Out of 35 cases 20(57.15%) had primary abdominal lymphoma, 08(22.85%) had secondary lymphomatous involvement, 07(20%) were cases of nodal lymphomas with or without superficial lymphnode involvement. All patients presented with gastrointestinal symptoms with or without an abdominal lump. Duration of symptoms of these patients ranged from 03 months to 02 years. In only 02 patients a clinical diagnosis of lymphoma was made pre-operatively. Various operative procedures were performed according to circumstances. Most common site of involvement was small intestine followed by large intestine, mesenteric lymphnodes, rectum and stomach. Among 35 cases, 28(80%) were Non-Hodgkin's, lymphoma 05(14.28%) were Hodgkin's and lymphoma 2(5.71%) were unclassified. All of the patients were referred to oncologist. Some of the patients received chemotherapy. The patients were followed up for a variable period. This study showed that abdominal lymphoma has a good prognosis provided diagnosed and treated early.