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Recurrent lymphoma presenting as painless, chronic intussusception: A case report.
Parker Giroux1, Anderson Collier2, Michael Nowicki3
1Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39216, United States.
World Journal of Clinical Cases
|February 13, 2020
Summary
A rare case of recurrent B-cell lymphoma presenting as painless intussusception in a pediatric patient highlights the varied clinical manifestations of gastrointestinal relapse. This emphasizes the importance of considering unusual presentations in acute lymphoblastic leukemia survivors.
Area of Science:
- Oncology
- Gastroenterology
- Pediatric Hematology/Oncology
Background:
- Acute lymphoblastic leukemia (ALL) has varied clinical presentations, with potential for relapse.
- Gastrointestinal relapse, including intussusception, is a known complication.
- Painless intussusception as a sign of relapse is exceptionally rare.
Observation:
- A 13-year-old male with B-cell precursor ALL in remission presented with anemia and weight loss.
- Physical examination revealed an absence of abdominal pain.
- Colonoscopy identified a mass causing ileocolic intussusception, confirmed as recurrent B-cell lymphoma.
Findings:
- The patient experienced painless intussusception due to recurrent B-cell lymphoma.
- Computed tomography confirmed ileocolic intussusception secondary to the colonic mass.
- Biopsy confirmed the mass as recurrent B-cell lymphoma.
Implications:
- This case underscores the diverse clinical spectrum of gastrointestinal lymphoma relapse.
- It highlights the possibility of asymptomatic intussusception in recurrent lymphoma.
- Clinicians should maintain a high index of suspicion for lymphoma recurrence even with atypical presentations in ALL survivors.
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