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A complete ileo-tumor-colic fistula in a child with Burkitt's lymphoma
C L Moertel1, J Watterson, D G Drake
1Department of Hematology/Oncology, Children's Hospital, St. Paul, Minnesota 55102.
Insights
A boy with abdominal Burkitt's lymphoma experienced complications including a fistula between the ileum and colon. Prompt radiological evaluation and surgical intervention led to successful treatment and recovery.
Area of Science:
- Pediatric Oncology
- Gastrointestinal Surgery
- Diagnostic Radiology
Background:
- Burkitt's lymphoma is an aggressive non-Hodgkin lymphoma that can affect the gastrointestinal tract.
- Complications such as bowel perforation or fistula formation can arise during lymphoma treatment.
- Early recognition of these complications is crucial for effective management.
Abstract:
A boy with abdominal Burkitt's lymphoma developed rectal bleeding, abdominal distension, pain, and fever three weeks after diagnosis. Imaging studies revealed a necrotic tumor mass allowing a fistulous pathway from the ileum to the proximal colon. A laparotomy was performed, with resection of the large necrotic tumor. The child recovered, and has had no further evidence of Burkitt's disease. The radiological evaluation performed in this case ensured proper medical management and surgical intervention during a life-threatening event. The possibility of bowel perforation as a complication of therapy for abdominal lymphoma must be recognized.