Successful treatment of a bowel perforation after chemotherapy for Burkitt lymphoma
Stephanie R Goldberg1, Kamar Godder, David A Lanning
1Department of Surgery/Division of Pediatric Surgery, Medical College of Virginia Hospitals/Virginia Commonwealth University, Richmond, VA 23298, USA.
Insights
Chemotherapy can cause intestinal perforation in children with Burkitt lymphoma. This case report details the successful survival and care of a pediatric patient experiencing jejunal perforation, highlighting a lack of existing guidelines.
Area of Science:
- Pediatric Oncology
- Gastrointestinal Surgery
Background:
- Chemotherapy-induced intestinal perforation is a rare but serious complication in Burkitt lymphoma treatment.
- Existing pediatric literature lacks detailed reports and survival data for this specific complication.
Observation:
- A 5-year-old boy developed jejunal perforation during Burkitt lymphoma treatment.
- His case is unique as there are no prior reports of pediatric survival from chemotherapy-induced perforation.
Findings:
- The patient survived jejunal perforation, indicating potential for recovery.
- Critical care aspects contributing to survival were identified.
Implications:
- This case underscores the need for diagnostic and treatment guidelines for chemotherapy-induced intestinal perforation in pediatric Burkitt lymphoma.
- Further research is needed to establish protocols for managing this complication and guiding chemotherapy continuation.
Abstract:
Chemotherapy-induced intestinal perforation after treatment for Burkitt lymphoma is a known potential complication. However, there are very few reports in the pediatric literature that discuss this complication in any detail, and most incidents are secondary to surgical complications such as anastomotic leaks. Furthermore, there are no reports of children that have survived chemotherapy-induced perforation, and thus, guidelines for the diagnosis and treatment of this complication or for the continuation of chemotherapy are lacking. We present a case of a 5-year-old boy who survived jejunal perforation after treatment for his Burkitt lymphoma, and the critical aspects of his care are discussed.
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