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[Colonic lymphoma revealed by ileocecal intussusception in adults: about a case]
Mohamed Said Belhamidi1, Abdessamad Kaoukabi1, Hicham Krimou1
1Service de Chirurgie Viscérale, Hôpital Militaire Mouly Ismail Meknes, Maroc.
Insights
Adult intussusception is rare, often caused by tumors. This case highlights colonic lymphoma presenting as intussusception in a young woman, successfully treated with surgery and chemotherapy.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Intussusception is common in children but rare in adults, typically indicating an underlying pathology.
- Colonic lymphoma presenting as intussusception is an exceptionally uncommon clinical scenario.
Abstract:
Intussusception is a very common condition in pediatrics, while in adults it is rare and accounts for only 10% of intussusceptions and 4% of intestinal occlusions. Colonic lymphoma revealed by intussusception is a very rare disease. We report the case of a 21-year old woman admitted with intestinal subocclusion to the Emergency Department at the Military Hospital Moulay Ismail, Meknes Morocco. Abdominal CT scan showed "sausage-shaped" mass as well as its organic cause in the colon. Surgical resection was the treatment of choice, followed by anatomo-pathological examination of the surgical specimen which showed diffuse large B-cell lymphoma. After surgery, chemotherapy was indicated in order to improve the prognosis and to avoid a possible relapse.
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