An Exceptional Case of Simultaneous double ileoileal Intussusception Secondary to Burkitt’s Lymphoma

2021 ◽  
Vol 8 ◽  
Author(s):  
Younes Aggouri ◽  
Aymane Jbilou ◽  
Yassine Mohamed ◽  
Badr Tarif ◽  
Said Ait laalim
Keyword(s):  
Computed Tomography ◽  
Diagnostic Imaging ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Burkitt’S Lymphoma ◽  
Exceptional Case ◽  
Burkitt's Lymphoma ◽  
Lead Point ◽  
Air Enema ◽  
Enema Reduction

Intussusception is the telescoping or invagination of one segment of the bowel into its adjacent portion. It is common among children however it’s rare in adults, being seen in approximately only 5% of cases. In adults, it is the underlying cause of about 5% of bowel obstructions. More than half of these intussusceptions in adults are secondary to a neoplasm. Burkitt’s lymphoma is an uncommon cause of intussusception, in adults, less than 20 cases have been reported in the literature. Double intussusceptions due to Burkitt’s lymphoma are extremely rare. We present a case of a 20-year-old woman who presented symptoms of intestinal obstruction and was diagnosed with double ileoileal intussusception at Abdominal computed tomography and laparotomy exploration. The pathology of the lead points turned out to be Burkitt’s lymphoma. This case details a rare cause of intussusception secondary to Burkitt’s lymphoma. In infants, this is often treated with air enema reduction, but in adult populations, intussusceptions are normally associated with a lead point, therefore surgical management is essential. Hereby we present to you a second reported case in the literature of adult double intussusception due to Burkitt’s lymphoma. This report contains interesting diagnostic imaging, operative details, and specimen photographs.

scholarly journals An Exceptional Case of Ileocolic Intussusception Secondary to Burkitt’s Lymphoma: What Variations Are There in the Presentation and Management of Those Patients Who Approach Adolescence?

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Krish Kulendran ◽  
Kay Tai Choy ◽  
Cian Keogh ◽  
Dinesh Ratnapala
Keyword(s):  
Abdominal Pain ◽  
Case Reports ◽  
Paediatric Population ◽  
Burkitt’S Lymphoma ◽  
Exceptional Case ◽  
Burkitt's Lymphoma ◽  
Lead Point ◽  
Ileocolic Intussusception ◽  
Diagnostic Dilemma ◽  
Pathological Lead Point

Intussusception is a common cause of abdominal pain among the paediatric population with up to 10% of cases occurring secondary to a pathological lead point. Burkitt’s lymphoma (BL) is a highly malignant and rapidly growing B-cell neoplasm which in extremely rare cases can present as intussusception. We report a case in an otherwise healthy 15-year-old male who presented with atypical abdominal pain. Imaging subsequently indicated an ileocolic intussusception, and given that the suspicion of a pathological lead point mandates a laparotomy and bowel resection, he proceeded to surgery. The histopathology confirmed Burkitt’s lymphoma as the aetiology responsible for this intussuscepted mass. A detailed discussion including a systematic review of all previous case reports explore the diagnostic dilemma of intussusceptions secondary to BL. This case report aims to highlight the clinical challenges in establishing such a diagnosis and an appreciation for the subtle variations in clinical features, as well as the differences in management between infants and adolescents.

scholarly journals Minimally Invasive Treatment of Sporadic Burkitt’s Lymphoma Causing Ileocaecal Invagination

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Paolo Panaccio ◽  
Michele Fiordaliso ◽  
Domenica Testa ◽  
Lorenzo Mazzola ◽  
Mariangela Battilana ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intestinal Obstruction ◽  
Iliac Fossa ◽  
Abdominal Distension ◽  
Burkitt’S Lymphoma ◽  
Right Hemicolectomy ◽  
Burkitt's Lymphoma ◽  
Invasive Treatment ◽  
Diagnostic Dilemma ◽  
Non Hodgkin Lymphoma

Introduction. Primary NHL (non-Hodgkin lymphoma) of the colon represents only 0.2% to 1.2% of all colonic malignancies. Burkitt’s lymphoma (BL) is usually a disease reported in children and young people, most of them associated with EBV or HIV infection. We describe a rare case of intestinal obstruction due to sporadic Burkitt’s lymphoma causing ileocaecal invagination explaining our experienceMethods. A 31-year-old man presented with diffuse colic pain and weight loss. Clinical examination revealed an abdominal distension with pain in the right iliac fossa. Colonoscopy documented a caecal large lesion with ulcerated mucosa. Computed tomography (CT) have shown a 60 × 50 mm right colic parietal lesion with signs of ileocolic intussusception.Results. Laparoscopic right hemicolectomy was performed. Postoperative period was uneventful. CD20+ high-grade B-cell Burkitt’s lymphoma was confirmed by immunohistochemistry (CD20+, CD79+, and CD10+) and FISH test (t (8;14) (q24; q32). The patient was subsequently treated with adjuvant combination chemotherapy (Hyper-CVAD) and is alive and disease-free at 8 months follow-up.Discussion. Adult sporadic Burkitt’s lymphoma (BL) causing intestinal obstruction due to ileocaecal intussusception is an extremely rare occurrence and a diagnostic dilemma. Despite the surgical approach is selected based on patient’s conditions and surgeon’s expertise, minimally invasive method could be preferred.

scholarly journals Adult Burkitt’s lymphoma presenting as intussusception: first UK case report

2017 ◽  
Vol 99 (7) ◽  
pp. e206-e208 ◽  
Author(s):  
R Simson ◽  
A Planner ◽  
Roderick Alexander
Keyword(s):  
Epigastric Pain ◽  
Recurrent Abdominal Pain ◽  
Burkitt’S Lymphoma ◽  
Right Hemicolectomy ◽  
Burkitt's Lymphoma ◽  
Adult Intussusception ◽  
Lead Point ◽  
History Of ◽  
The Uk ◽  
Specific Symptoms

Colonic intussusception is rare in adults and can present with non-specific symptoms that can make diagnosis difficult and delayed. Unlike in children, it is commonly due to a pathological lead point that is often malignant. This case is the first reported case of adult intussusception due to Burkitt's lymphoma in the UK. We describe the case of a 22-year-old woman who presented with 4-week history of intermittent epigastric pain. On the third hospital admission, the diagnosis was made by abdominal computed tomography, which showed the ‘target’ sign, suggestive of intussusception. A right hemicolectomy was performed and histology later confirmed Burkitt’s lymphoma. This case demonstrates the difficulty in diagnosing intussusception in adults, which must be considered in recurrent abdominal pain when more common causes have been ruled out. The rare diagnosis of Burkitt’s lymphoma made early diagnosis and treatment important.

Computed tomography in the diagnosis and follow-up of American Burkitt's lymphoma

1986 ◽  
Vol 11 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Laghaieh Rezvani ◽  
Richard J. Tully ◽  
Clive Levine ◽  
Errol Levine ◽  
Jonathan M. Rubin
Keyword(s):  
Computed Tomography ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma

scholarly journals Vanek’s tumor causing ileoileal intussusception in a middle-aged man

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Syamim Johan ◽  
Pei Pei Lee ◽  
Nornazirah Azizan ◽  
Firdaus Hayati ◽  
Andee Dzulkarnaen Zakaria
Keyword(s):  
Computed Tomography ◽  
Intestinal Obstruction ◽  
Soft Tissue Mass ◽  
Surgical Complication ◽  
Lead Point ◽  
Inflammatory Fibroid Polyp ◽  
Tissue Mass ◽  
Layering Effect ◽  
Fibroid Polyp ◽  
Classic Symptom

Abstract Intestinal obstruction is a common surgical emergency requiring urgent intervention. Small bowel obstruction secondary to intussusception is rarely encountered especially when inflammatory fibroid polyp (IFP) is the lead point. A 41-year-old gentleman with intestinal intussusception secondary to IFP presented to us with a classic symptom of intestinal obstruction. Computed tomography revealed a target or sausage-shaped soft tissue mass with a layering effect, which was confirmed by intraoperative findings. Histopathology was consistent with IFP and supported by immunoreactivity of CD34 and negative immunostaining for CD117. He recovered without any surgical complication or recurrence. Even intussusception can be managed via non-surgical technique in children; surgery is the mainstay of treatment in adults.

scholarly journals Inverted Meckel’s diverticulum: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Lovenish Bains ◽  
Rahul Bhatia ◽  
Rohit Kaushik ◽  
Pawan Lal ◽  
Gayatri Rajpaul ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Rare Condition ◽  
Meckel's Diverticulum ◽  
Uneventful Recovery ◽  
Lead Point ◽  
Computed Tomography Images ◽  
Recurrent Intussusception ◽  
Inverted Meckel’S Diverticulum

Abstract Background Inverted Meckel’s diverticulum refers to the condition in which the diverticulum inverts on itself. The reasons for such an inversion are poorly understood due to the rarity of the condition. We present a case of inverted Meckel’s diverticulum, an uncommon finding, as a cause of recurrent intussusception. Case presentation A 30-year old Indian woman presented with complaints of pain in the central abdomen for 3 days, accompanied with vomiting and loose stools. Computed tomography images were suggestive of intussusception with intestinal obstruction. Intra-operative findings were suggestive of an intussuscepted segment of ileum measuring 10 cm in length, proximal to ileocecal junction. Ileo–ileal anastomosis was performed after appropriate resection. Upon opening the specimen, we were surprised to find an inverted Meckel diverticulum with lipoma at one end causing the intussusception. The patient made an uneventful recovery and was discharged after 5 days. Conclusion The reasons for inversion include abnormal peristalsis around the diverticulum and non-fixity of the diverticulum itself. The inverted diverticulum itself can cause luminal compromise and acts as a lead point for intussusception leading to obstruction. Computed tomography remains the diagnostic tool of choice for identifying intestinal obstruction and intussusception. Although pathological signs, such as lipoma, can be identified, the identification of any inversion will require a proficient radiologist. Inverted Meckel’s diverticulum is a rare condition which is difficult to diagnose preoperatively. Treatment is surgical, whether diagnosed pre-operatively or intra-operatively, and includes segmental resection and anastomosis. This uncommon condition should be noted as one-off differential diagnosis for intussusception and intestinal obstruction.

scholarly journals Unusual multiple metastatic localisations in adult Burkitt’s lymphoma. A case report.

2016 ◽  
Vol 18 (4) ◽  
pp. 518 ◽  
Author(s):  
Georgiana Nagy ◽  
Romeo Chira ◽  
Doinita Crisan ◽  
Mihai Munteanu ◽  
Petru Adrian Mircea
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
B Cell ◽  
Hodgkin Lymphoma ◽  
Clinical Case ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma ◽  
Non Hodgkin Lymphoma ◽  
Multisystem Involvement ◽  
Radiological Methods

Burkitt’s lymphoma is an aggressive B-cell non-Hodgkin lymphoma. It is less common in adults accounting for less than 5% of non-Hodgkin lymphoma cases. Radiological methods (ultrasonography, computed tomography) are indispensable for the initial evaluation and appreciation of organ extension; complete diagnosis is confirmed by the histopathological examination.We present the clinical case and ultrasound imaging particularities of a young patient diagnosed with multisystem involvement Burkitt’s lymphoma, with rapid progressive evolution towards exitus.

scholarly journals Acute Adult Jejuno-Jejunal Intussusception Caused by a Giant Lipoma

2021 ◽  
pp. 1-3
Author(s):  
Paolo Aonzo ◽  
Paolo Aonzo ◽  
Michela Ceriotti ◽  
Antonio Fernando Anania ◽  
Matteo Morena ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Gold Standard ◽  
Acute Abdominal Pain ◽  
Mucosal Ulceration ◽  
Giant Lipoma ◽  
Jejunal Obstruction

Acute abdominal pain secondary to intussusception is rare in adults and mainly caused by malignancy (70-90%), whereas in childhood intussusception’s etiology is mostly idiopathic (90% of cases). Gastrointestinal lipomas, especially in small bowel, represent an unusual cause of intussusception with complete intestinal obstruction or bleeding (acute or chronic) from mucosal ulceration. In acute settings, computed tomography (CT) should be confidently considered the gold standard for diagnosis. In adulthood, surgical management of acute symptomatic intussusception caused by lipoma is mandatory. We report a case of complete jejunal obstruction with intussusception due to 5 cm submucosal lipoma.

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