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CASE REPORT
Adult ileocolic intussusception caused by Burkitt lymphoma
  1. Daniele Bernardi1,2,
  2. Emanuele Asti2,
  3. Luigi Bonavina1,2
  1. 1Department of Biomedical Sciences for Health, Universita degli Studi di Milano, Milano, Italy
  2. 2Department of Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy
  1. Correspondence to Professor Luigi Bonavina, luigi.bonavina{at}unimi.it

Summary

Ileocolic intussusception due to Burkitt lymphoma is extremely rare in adults. A man aged 17 years presented with a history of recurrent abdominal pain over the past 3 weeks. The abdomen was distended with diffuse tenderness, and bowel sounds were present. Abdominal ultrasound and CT scans showed evidence of small bowel obstruction with marked wall thickening in the ileocecal region and ‘target’ signs suggestive for intussusception. At laparoscopy, a mass involving the caecum and the terminal ileum was found, along with multiple locoregional nodes, which was highly suggestive of malignancy. A typical en bloc right colectomy with intracorporeal ileocolic anastomosis was performed. Histopathological examination showed a high-grade B-cell Burkitt lymphoma that was confirmed by immunohistochemistry. The patient was subsequently treated with adjuvant combination chemotherapy and is alive and disease-free at the 3-year follow-up.

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Footnotes

  • Contributors DB and EA collected the patient’s data and wrote the first manuscript draft. LB supervised and approved the final version of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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