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Intussusception Induced by Burkitt Lymphoma in an Adult Patient

Received: 30 January 2020     Accepted: 31 March 2020     Published: 14 April 2020
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Abstract

Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.

Published in Journal of Surgery (Volume 8, Issue 2)
DOI 10.11648/j.js.20200802.15
Page(s) 67-70
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Colon Cancer, Burkitt Lymphoma, Colon Surgery, Colorectal Surgery, Abdominal Pain, Hand Assisted Laparoscopic Cecetomy, Ileocecal Valve, Colonoscopy, Intestinal Obstruction, Intussusception

References
[1] Zhang, Jennie et al. “Carcinoid tumor causing ileoceccal intussusception in an adult patient.” Journal of community hospital internal medicine perspectives vol. 9, 3 267-270. 19 Jun. 2019, doi: 10.1080/20009666.2019.1601058.
[2] Wang, Ning et al. “Adult intussusception: a retrospective review of 41 cases.” World journal of gastroenterology vol. 15, 26 (2009): 3303-8. doi: 10.3748/wjg.15.3303.
[3] Wiener-Carrillo, Isidoro et al. “Intussusception secondary to a carcinoid tumor in an adult patient.” International journal of surgery case reports vol. 5, 5 (2014): 265-7. doi: 10.1016/j.ijscr.2014.01.022.
[4] Azar, T, and D L Berger. “Adult intussusception.” Annals of surgery vol. 226, 2 (1997): 134-8. doi: 10.1097/00000658-199708000-00003.
[5] Lu, Teng, and Yi-mei Chng. “Adult intussusception.” The Permanente journal vol. 19, 1 (2015): 79-81. doi: 10.7812/TPP/14-125.
[6] Barussaud, M., Regenet, N., Briennon, X. et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 21, 834–839 (2006). https://doi.org/10.1007/s00384-005-0789-3.
[7] Bălănescu NR, Topor L, Malureanu D, Stoica I. Ileocolic intussusception due to Burkitt lymphoma: a case report. J Med Life. 2013; 6 (1): 61–64.
[8] Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, Theodosopoulos T. Intussusception of the bowel in adults: A review. World J Gastroenterol 2009; 15 (4): 407-411.
[9] Arjowan Mustafa, Lina Azzam, Hussam M. Azzam. A Case Report of a Primary Intususseption in Pregnancy. American Journal of Medical Case Reports. 2016; 4 (11): 357-360. doi: 10.12691/ajmcr-4-11-2.
[10] Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg. 1997 Feb; 17 3 (2): 88–94. DOI: http://dx.doi.org/10.1016/S0002-9610(96)00419-9.
[11] Eisen LK, Cunningham JD, Aufses AH., Jr Intussusception in adults: institutional review. J Am Coll Surg. 1999 Apr; 188 (4): 390–5. DOI: http://dx.doi.org/10.1016/S1072-7515(98)00331-7.
[12] Khan, Adnan et al. “Primary Gastric Burkitt's lymphoma.” Pakistan journal of medical sciences vol. 33, 5 (2017): 1294-1297. doi: 10.12669/pjms.335.13002.
[13] Erkan, Gulbanu et al. “A Burkitt's Lymphoma Case Mimicking Crohn's Disease: A Case Report.” Case reports in medicine vol. 2011 (2011): 685273. doi: 10.1155/2011/685273.
[14] Seifarth FG, Triana J. Diagnosis and laparoscopic treatment of ileoileal intussusception secondary to heterotopic pancreas in an infant: case report and review of the literature. Journal of Pediatric Surgery. 2011; 46: 33–36.
[15] Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum. 2006; 49: 1546–1551.
Cite This Article
  • APA Style

    Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. (2020). Intussusception Induced by Burkitt Lymphoma in an Adult Patient. Journal of Surgery, 8(2), 67-70. https://doi.org/10.11648/j.js.20200802.15

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    ACS Style

    Olivia Makenzie Boyette; Bradley Casey III; Stephanie Khadeejah Tom; Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J. Surg. 2020, 8(2), 67-70. doi: 10.11648/j.js.20200802.15

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    AMA Style

    Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J Surg. 2020;8(2):67-70. doi: 10.11648/j.js.20200802.15

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  • @article{10.11648/j.js.20200802.15,
      author = {Olivia Makenzie Boyette and Bradley Casey III and Stephanie Khadeejah Tom and Todd Nicholas Tom},
      title = {Intussusception Induced by Burkitt Lymphoma in an Adult Patient},
      journal = {Journal of Surgery},
      volume = {8},
      number = {2},
      pages = {67-70},
      doi = {10.11648/j.js.20200802.15},
      url = {https://doi.org/10.11648/j.js.20200802.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200802.15},
      abstract = {Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Intussusception Induced by Burkitt Lymphoma in an Adult Patient
    AU  - Olivia Makenzie Boyette
    AU  - Bradley Casey III
    AU  - Stephanie Khadeejah Tom
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    DO  - 10.11648/j.js.20200802.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 67
    EP  - 70
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200802.15
    AB  - Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Kentucky College of Osteopathic Medicine, University of Pikeville, Pikeville, United States of America

  • Ross University School of Medicine, Ross University, Bridgetown, Barbados

  • University of Louisville School of Medicine, University of Louisville, Louisville, United States of America

  • Department of General Surgery, Tug Valley ARH Regional Medical Center, South Williamson, United States of America

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