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Updated: Jul 3, 2025
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
16.4K
Burkitt Lymphoma Presenting as Ileocolic Intussusception in an Adult
Carla Isabel Borré1, Bethany Boyle2, Kelsey Lynch2
1Yale School of Public Health, Yale University, New Haven, USA.
Open Journal of Blood Diseases
|February 16, 2024
Summary
Adult intussusception is rare and often requires surgery. This case shows Burkitt lymphoma-associated intussusception resolving with conservative management, establishing a precedent for non-invasive treatment in select patients.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Adult intussusception is uncommon, frequently linked to malignant tumors, and typically necessitates urgent surgery.
- Malignant lead points are a common cause of intussusception in adults, often presenting as a surgical emergency.
Purpose of the Study:
- To report a rare case of adult Burkitt lymphoma-associated intussusception.
- To highlight the potential for conservative management in select cases of adult intussusception secondary to malignancy.
Main Methods:
- Case report of a 44-year-old male with abdominal pain.
- Diagnostic workup including biopsies and cytology for ileocecal mass and lymphadenopathy.
- Clinical observation of intussusception resolution with conservative management.
Main Results:
- Ileocolic intussusception secondary to an ileocecal mass consistent with Burkitt lymphoma (BL).
- Spontaneous resolution of intussusception and malignant bowel obstruction within 36 hours without surgical intervention.
- Complete response to chemoimmunotherapy for Burkitt lymphoma with no complications.
Conclusions:
- This is the first reported case of adult Burkitt lymphoma-associated intussusception resolving non-invasively.
- Conservative management may be a viable option for carefully selected adult intussusception cases with underlying malignancy.
- Highlights the importance of considering less invasive approaches in specific adult intussusception scenarios.
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