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Primary non-Hodgkin's lymphoma of rectum presenting with rectal prolapse

Chao-Yang Chen1, Chang-Chieh Wu, Cheng-Wen Hsiao

  • 1Department of Surgery, Division of Colorectal Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Journal of Pediatric Surgery
|May 13, 2009
PubMed

Insights

Pediatric rectal prolapse can rarely signal malignancy. A 12-year-old boy’s rectal prolapse was diagnosed as non-Hodgkin

Area of Science:

  • Pediatric oncology
  • Gastrointestinal pathology
  • Surgical oncology

Background:

  • Malignant lymphoma rarely involves the rectum in adults and is extremely rare in children.
  • Rectal tumors in children often mimic benign conditions like juvenile polyps.

Observation:

  • A 12-year-old boy presented with rectal prolapse and bleeding.
  • Clinical presentation mimicked a juvenile polyp, a common benign rectal lesion in children.

Findings:

  • A localized rectal tumor was surgically excised.
  • Pathologic examination confirmed diffuse large B-cell type, a type of non-Hodgkin's lymphoma.

Implications:

  • Highlights the importance of considering rectal malignancy in pediatric patients with rectal prolapse.
  • Demonstrates a successful surgical strategy for localized rectal lymphoma in a child.

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