[INTRODUCTION]
Gastric cancer is the one of the most common and lethal cancer worldwide (2). 95% of Gastric cancers of are adenocarcinomas, followed by primary gastric lymphoma (2). Primary Gastric lymphoma are approximately 5% of gastric neoplasm (3). T-cell lymphomas are types of non-Hodgkin lymphoma (NHL) which can grow in lymphoid tissues such as the lymph nodes and spleen, or outside of lymphoid tissues (i.e., gastrointestinal tract, liver, nasal cavity, skin, and others) (4).
Enteropathy-associated T-cell lymphoma (EATL) is a rare primary extra nodal T-cell lymphoma primarily affecting the small intestine (5,6). It is an aggressive T-cell lymphoma. EATL develops most frequently in the middle part of the small intestine, called the jejunum (7). The cause of EATL is not fully understood yet by definition is related to celiac disease (5,6). Classically presenting with chronic diarrhea, weight loss, and malabsorption, EATL poses a diagnostic challenge when presenting with atypical symptoms such as acute abdominal pain without the typical constitutional manifestations.