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CASE REPORT
Rare presentation of ileocolic intussusception secondary to mantle cell lymphoma
  1. Veeresh Aukhojee1,
  2. Creski M Gilong1,
  3. Gayatri Seewoogoolam1 and
  4. Paul N Strauss2
  1. 1 Department of Surgery, Austin Health, Heidelberg, Victoria, Australia
  2. 2 General Surgery, Central Gippsland Health Service, Sale, Victoria, Australia
  1. Correspondence to Dr Veeresh Aukhojee, aukhojeev{at}gmail.com

Abstract

Mantle cell lymphoma is a type of B-cell non-Hodgkin’s lymphoma (NHL) and accounts for 3%–6% of all adult NHL.1 2 Bowel intussusception secondary to lymphoma is rare in adults, accounting for only 4% of all cases.3The authors present the case of a 53-year-old man, recently diagnosed with mantle cell lymphoma, who presented with sudden onset right-sided abdominal pain and was found to have ileocolic intussusception up to the hepatic flexure on abdominal CT. He underwent an emergency right hemicolectomy and intraoperatively, the terminal ileum could be seen telescoping into the caecum, up to the hepatic flexure. Although intussusception is uncommon in the adult population, an underlying bowel pathology should always be considered and prompt imaging should be organised to confirm the diagnosis and allow initiation of management in a timely manner.

  • malignant and benign haematology
  • small intestine cancer
  • gastrointestinal surgery
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Footnotes

  • Contributors VA: conceived the idea and wrote up the case presentation and majority of the discussion for this rare disease presentation. CMG: contributed in data acquisition and proofreading of the manuscript. GS: contributed in literature review and discussion. PNS: contributed in the conception, planning and editing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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