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Published on: August 21, 2017
[Ileocecal intussusception caused by Burkitt lymphoma, cause of mechanical ileus]
Akos Szabó1, Péter Farkas, András László
1Semmelweis Egyetem II. sz. Sebészeti Klinika, H-1125 Budapest.
Insights
A 39-year-old man experienced abdominal cramps due to ileocecal intussusception caused by Burkitt lymphoma. Successful surgery and chemotherapy led to a full recovery, with the patient remaining symptom-free six months post-operation.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Ileocecal intussusception is a rare condition in adults, often associated with underlying pathologies.
- Burkitt lymphoma is an aggressive non-Hodgkin lymphoma that can manifest in various organs.
Observation:
- A 39-year-old male presented with recurrent abdominal cramps and a palpable ileocecal mass.
- Physical examination revealed tenderness in the ileocecal region, suggestive of intussusception.
Findings:
- Diagnostic imaging confirmed ileocecal intussusception.
- Histological examination of the resected specimen identified Burkitt lymphoma as the cause of the intussusception.
- Comprehensive hematological evaluation was performed post-operatively.
Implications:
- This case highlights the importance of considering malignancy, particularly Burkitt lymphoma, in adult intussusception.
- Prompt surgical intervention followed by appropriate chemotherapy can lead to favorable outcomes in such cases.
- Early diagnosis and multidisciplinary management are crucial for improving patient prognosis.
Abstract:
A 39-year-old man was admitted to our Medical Department, because of regular abdominal cramps. At physical examination a palpable mass was detected in the ileocoecal region with tenderness. Examinations proved ileocoecal intussusception. Emergency operation was performed. At histology the cause of small-bowel invagination was Burkitt-lymphoma. After the complex haematological examination chemotherapy was started. Six month after surgery the patient is symptomless.
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