[A Case of Mantle Cell Lymphoma Diagnosed after Surgery for Ileocecal Intussusception]

Goro Tsukiyama1, Hiroshi Tanaka, Suguru Yabuki

  • 1Dept. of Surgery, Minamiseikyo General Hospital.

Insights

A rare case of Mantle cell lymphoma presented as ileocecal intussusception in a 63-year-old woman. This discovery led to timely treatment including chemotherapy and stem cell transplantation.

Area of Science:

  • Gastroenterology
  • Oncology
  • Hematology

Background:

  • Mantle cell lymphoma (MCL) is a rare non-Hodgkin lymphoma.
  • Intussusception, particularly ileocecal, is an uncommon presentation for gastrointestinal lymphomas.

Observation:

  • A 63-year-old female presented with abdominal pain and bloody discharge.
  • Abdominal CT revealed ileocecal intussusception, leading to a right colectomy.
  • Pathological examination of the resected specimen confirmed Mantle cell lymphoma.

Findings:

  • The patient received initial chemotherapy followed by peripheral stem cell transplantation.
  • This case highlights the importance of considering rare presentations of MCL.
  • The diagnosis was incidental, emphasizing the need for vigilance in unexplained gastrointestinal symptoms.

Implications:

  • This case underscores the diagnostic challenge of MCL presenting as intussusception.
  • It provides insights into the management of MCL with this rare initial manifestation.
  • Further research into optimal treatment strategies for such rare presentations is warranted.