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Chronic intussusception associated with ileocecal lymphosarcoma
Insights
A pediatric case of chronic ileocolic intussusception, linked to ileocecal lymphosarcoma, presented with abdominal pain and a palpable mass. The intussusception was irreducible, and the lymphosarcoma was inoperable, leading to the patient
Area of Science:
- Pediatric Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Intussusception is a common cause of bowel obstruction in children.
- Lymphosarcoma is a rare but aggressive form of non-Hodgkin lymphoma.
- Chronic ileocolic intussusception can be associated with underlying malignancy.
Abstract:
A 1011/12-year-old boy with chronic ileocolic intussusception associated with ileocecal lymphosarcoma was decribed. The patient had abdominal pain of 3 months' duration, vomiting, and a firm mass with smooth surface in the right lower abdomen. Barium enema showed intussusception at the distal part of the ascending colon, which was irreducible by hydrostatic pressure. Barium by mouth revealed markedly distended small intestines, which were displaced to the left abdomen. The tumor was inoperable, and the boy died.