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Ileocaecal Intussusception Due to Burkitt Lymphoma: A Surgical and Haematological Emergency
Mostafa Elkhawaga1, Bryony Ross2, Ella Sugo3
1Surgery, John Hunter Hospital, Newcastle, AUS.
Insights
Intussusception, the telescoping of the bowel, is common in infants but rare in adolescents. This case highlights Burkitt lymphoma as a cause of intussusception in an adolescent.
Area of Science:
- Gastroenterology
- Pediatric Oncology
- Surgical Pathology
Background:
- Intussusception involves the invagination of one bowel segment into another.
- While common in children aged 3-18 months, its etiology in adults often differs, with identifiable causes being more frequent.
- Idiopathic causes are prevalent in pediatric intussusception, contrasting with adult cases.
Observation:
- This article details a rare case of intussusception in an adolescent patient.
- The underlying cause identified in this adolescent was Burkitt lymphoma, a type of non-Hodgkin lymphoma.
Findings:
- Burkitt lymphoma can present as a cause of intussusception, even in adolescent populations.
- This presentation underscores the importance of considering malignancy in adolescent intussusception.
Implications:
- Early diagnosis of Burkitt lymphoma is crucial for effective treatment and improved outcomes in adolescents.
- This case broadens the differential diagnosis for intussusception in older children and adolescents.
- Highlights the need for thorough investigation into the underlying causes of intussusception beyond typical pediatric presentations.
Abstract:
Intussusception is the protrusion and invagination of a segment of the bowel, referred to as the intussusceptum, into another adjacent segment known as the intussuscipiens. The age range during which intussusception is most observed in children is between three and 18 months. Unlike intussusceptions in children, where the cause is often idiopathic, a specific underlying factor is discernible in a significant majority of cases among adults. In this article, we will present a case of intussusception in an adolescent caused by Burkitt lymphoma.
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