IntJColorectalDis(2015)30:1741 DOI 10.1007/s00384-015-2151-8 LETTER TO THE EDITOR Ileal non-Hodgkin’s lymphoma presenting as perforation Sanjay Kumar Yadav & Jitin Yadav & Abhinav Anand & Rajeev Ranjan Kumar Accepted: 1 February 2015 / Published online: 15 February 2015 # Springer-Verlag Berlin Heidelberg 2015 Dear Editor, We read the article entitled BIntestinal lymphoma—a review of the management of emergency presentations to the general surgeon^ by S. Abbott et al. [1] In the International Journal Of Colorectal Diseases (Feb. 2015). The authors are right that there is a lack of quality evidence for the elective and emergency treatment of non-Hodgkin’s lymphoma (NHL) involving the small and large intestine. There is a lack of information especially to general surgeons regarding management of intestinal lymphoma presenting as an emergency. We encountered a 15-year-old male patient who presented to us with features of perforation peritonitis. He was taken up for emergency exploratory laparotomy. We noticed a firm mass approximately 15×15 cm in the mid ileum with a perforation. The mass was resected out, and end to end ileoileal anastomosis was done. Final histopathology of the mass came as T cell NHL. Patient was put up on chemotherapy CVP regimen (cyclophosphamide 750 mg/m2 iv day 1, vincristine 1.4 mg/m2 iv Electronic supplementary material The online version of this article (doi:10.1007/s00384-015-2151-8) contains supplementary material, which is available to authorized users. S. K. Yadav (*) : J. Yadav : A. Anand : R. R. Kumar Department of General Surgery, Rajendra Institute of Medical Sciences, Hostel No. 03, Room No. 50, Rims, Ranchi, Jahrkhand 834009, India e-mail: sky1508@gmail.com day 1, prednisone 40 mg/m2 per oral qd days 1–5 Q3 weeks× 8 cycles). Patient responded well and is currently in follow-up after 1 year of completion of chemotherapy. We agree with the authors’ comments that in order to develop evidence-based treatment protocols, there should be an intestinal NHL registry. Conflict of interest Authors declare no conflict of interest. Funding No external funding source was provided. References 1. Abbott S, Nikolousis E, Badger I (2015) Intestinal lymphoma—a review of the management of emergency presentations to the general surgeon. Int J Colorectal Dis 30(2):151–157. doi:10.1007/s00384014-2061-1