Article: A rare presentation of perianal ulcer in a patient with non- hodgkin’s lymphoma
| creativeworkseries.issn | Online ISSN: 2676-1424; Print ISSN: 2676-1319 | |
| dc.contributor.author | Satyal, Shraddha | |
| dc.contributor.author | Shrestha, Sunil | |
| dc.contributor.author | Dhakal, Aarati | |
| dc.contributor.author | Dhakal, Tejaswi | |
| dc.contributor.author | Dhakal, Aadarsh | |
| dc.creator.affiliation | Department of General Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu https://orcid.org/0009-0008-1063-8178 | |
| dc.creator.affiliation | Department of General Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of General Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of General Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.creator.affiliation | Department of General Surgery, Nepal Medical College and Teaching Hospital, Attarkhel, Gokarneshwor-8, Kathmandu | |
| dc.date.accessioned | 2026-09-30T07:37:10Z | |
| dc.date.available | 2026-09-30T07:37:10Z | |
| dc.date.issued | 2026 | |
| dc.description.abstract | Abstract: Perianal ulcers are rare but clinically significant presentation in immunocompromised patients, particularly in those with hematological malignancy such as non-Hodgkin’s lymphoma (NHL). In these individuals, immunosuppression predisposes them to infections, impaired wound healing and secondary malignancies. We present a unique case of large necrotic perianal ulcer in a patient with recently diagnosed diffuse large B-cell lymphoma (DLBCL), discussing its clinical course, diagnostic and management challenges. A 55-year-old male presented with a 3 week history of perianal pain and 4 days of difficulty in micturition. Examination revealed a large necrotic ulcer with extensive tissue involvement. He had undergone incision and drainage of perianal abscess 2 months back and was recently diagnosed with non-Hodgkin’s lymphoma by biopsy 3 weeks back. Histopathological evaluation confirmed diffuse large B-cell lymphoma involving the perianal region. This case highlights the diagnostic and therapeutic challenges of managing complex perianal ulcers in immunocompromised patients. | |
| dc.identifier.doi | https://doi.org/10.3126/nmcj.v28i1.92190 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7934 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical College Pvt. Ltd. | |
| dc.subject | Perianal ulcer | |
| dc.subject | Diffuse large B-cell lymphoma | |
| dc.subject | Immunocompromised patient | |
| dc.title | A rare presentation of perianal ulcer in a patient with non- hodgkin’s lymphoma | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 90 | |
| oaire.citation.startPage | 86 | |
| relation.isJournalIssueOfPublication | 251426f6-5314-4bf5-a4df-69ddabdb49fc | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 251426f6-5314-4bf5-a4df-69ddabdb49fc | |
| relation.isJournalOfPublication | 865934c8-5e95-468c-8ca6-7bb2529e4064 |