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[Ileocolic intussusception due to a large B cell lymphoma in a patient with AIDS]

Marcelo Corti1, María F Villafañe, Omar Palmieri

  • 1Hospital de Infecciosas F Muñiz, Ciudad Autónoma de Buenos Aires, Argentina. marcelocorti@fibertel.com.ar

Acta Gastroenterologica Latinoamericana
|June 7, 2008
PubMed

Insights

Adult intussusception is rare, often caused by tumors. This case highlights ileocolic intussusception in an AIDS patient due to cecal B cell lymphoma, requiring surgical resection.

Area of Science:

  • Gastroenterology
  • Oncology
  • Infectious Diseases

Background:

  • Adult intussusception is an uncommon condition.
  • Acquired causes, such as malignancy, are more frequent in adults than in children.
  • Human Immunodeficiency Virus (HIV) infection can be associated with various gastrointestinal complications.

Observation:

  • A case of an adult patient with Acquired Immunodeficiency Syndrome (AIDS) presented with ileocolic intussusception.
  • The intussusception was found to be secondary to a large B cell lymphoma originating in the cecum.

Findings:

  • Surgical exploration revealed the ileum invaginated within the cecum, with the tumor infiltrating the cecal wall.
  • The ileocecal junction was the primary site of the intussusception.
  • Histopathological examination confirmed a large B cell lymphoma as the underlying cause.

Implications:

  • This case underscores the importance of considering malignancy in adult intussusception, particularly in immunocompromised patients.
  • Early diagnosis and surgical intervention are crucial for managing intussusception secondary to gastrointestinal tumors.
  • Further research into the link between HIV, B cell lymphoma, and intussusception may improve patient outcomes.

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