Primary rectal lymphoma (PRL) is the rarest primary rectal cancer. Clinical presentation is similar to rectal carcinoma. The role of surgery is still controversial and the benefit of chemotherapy and radiotherapy is not well established. We here report the case of female patient suffering from PRL completely disappeared with chemotherapy.

A Tunisian male diagnosed with an acute lymphoblastic leukemia was admitted to our hospital for a chemotherapy cure . During the hospitalization, he presented an acute epigastric pain with fever. Abdominal CT scan showed circumferential gastric thickening with an enhancement defect suggestive of gastric ischemia associated with segmental pulmonary embolism.