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Sporadic Burkitt's lymphoma masquerading as an intussuscepted Meckel's diverticulum in a 9-year-old child

Jessica Yan-Seen Ng1, Richard James Thompson1, Alfred Lam2

  • 1Surgery, Gold Coast University Hospital, Southport, Queensland, Australia.

BMJ Case Reports
|July 26, 2018
PubMed

Insights

A rare case of intussusception caused by sporadic Burkitt's lymphoma (BL) in a child is presented. This pediatric case lacked typical BL symptoms and demographic risk factors, highlighting diagnostic challenges.

Area of Science:

  • Pediatric oncology
  • Gastroenterology
  • Surgical pathology

Background:

  • Intussusception is a common pediatric surgical emergency, typically idiopathic.
  • Sporadic Burkitt's lymphoma (BL) is a rare, aggressive non-Hodgkin lymphoma, more common in endemic areas or immunocompromised individuals.
  • Lead points for intussusception in children are uncommon, with lymphoma being a rare cause.

Observation:

  • A 9-year-old boy presented with abdominal pain, a non-specific symptom.
  • Imaging revealed ileocolic intussusception.
  • Surgical resection identified a tumor mass acting as the lead point.

Findings:

  • Histopathological examination confirmed the lead point as sporadic Burkitt's lymphoma (BL).
  • The patient's clinical presentation was atypical for BL, lacking characteristic features such as B symptoms or specific facial nerve palsies.
  • The patient did not belong to a high-risk demographic group typically associated with BL.

Implications:

  • This case underscores the importance of considering rare lead points, including BL, in pediatric intussusception, even in atypical presentations.
  • It highlights the diagnostic challenge posed by BL when it does not conform to typical clinical or demographic profiles.
  • Early recognition and diagnosis of BL-associated intussusception are crucial for timely oncological management and improved patient outcomes.

Keywords:
gastroenterologyhaematology (incl blood transfusion)paediatric surgery

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