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Mantle cell lymphoma presenting as intussuscepting ascending colon mass
  1. Lydia Li Yeh Tan1,2,
  2. Heidi Chang2 and
  3. Ishara Maduka2
  1. 1General Surgery, National University Hospital, Singapore
  2. 2General Surgery, Ng Teng Fong General Hospital, Singapore
  1. Correspondence to Dr Lydia Li Yeh Tan; lydiatanpal{at}


Malignant lymphoma is a rare cause of gastrointestinal intussusception in adults, accounting for less than 1% of all cases of intussusception. This is a case of a South-East Asian woman in her 50s, presenting with intermittent abdominal pain, loose stools and weight loss. CT of the abdomen and pelvis showed an irregular mass causing ileocolic intussusception and she underwent emergency open right hemicolectomy with end ileostomy. Intraoperatively, her bowel was covered with lymphoma nodules, and bulky mesenteric nodules of small bowel and colon were seen. The histology shows mantle cell lymphoma, a rare subtype of B cell non-Hodgkin’s lymphoma. She recovered well postoperatively and was started on chemotherapy (Nordic protocol) early.

  • General surgery
  • Gastrointestinal surgery
  • Carcinogenesis

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  • Contributors IM and HC attended the patient and provided clinical care. LLYT wrote the manuscript. IM and HC edited 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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