Optimal Surgical Management and Outcomes of Abdominal Catastrophes Secondary to Intestinal Lymphomas

A systematic review was conducted to assess the presentation, diagnosis, optimal surgical approach, and post-operative outcomes of abdominal catastrophes secondary to intestinal lymphomas. A total of 95 patients were identified, with Burkitt’s lymphoma and diffuse large B-cell lymphoma being the most common types. Small bowel resections had a 25% complication rate and a 13.8% 30-day mortality, while ileocolonic resections had a 27% complication rate and an 18% mortality. Primary repair had a 25% complication rate and 25% mortality. Aggressive surgical management, including small bowel resection, may yield similar remission rates for these patients.