Ileocecal Burkitt's lymphoma presenting as ileocolic intussusception with appendiceal invagination and acute appendicitis.
Intussusception is a common cause of abdominal pain in children. Although most cases are idiopathic, about 10% of cases have a pathologic lead point. Burkitt's lymphoma is not a common etiology. Burkitt's lymphoma might present primarily as intussusception in children but has rarely been associated with appendicitis. We report a case in which a 10-year-old obese boy who initially presented with acute appendicitis due to ileocolic intussusception with appendiceal invagination. He underwent one-trocar laparoscopy and antibiotic treatment. The symptoms recurred 10 days after discharge. Colonoscopy disclosed ileocecal Burkitt's lymphoma as the pathological lead point. This case emphasizes the importance of the age of the patient and the anatomic location of the intussusception related to possible etiology, and hence the most appropriate surgical procedure.
Wang
Sheng-Mine
SM
Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Huang
Fu-Chen
FC
Wu
Chi-Hung
CH
Ko
Sheung-Fat
SF
Lee
Shin-Ye
SY
Hsiao
Chih-Cheng
CC
D000208:Acute Disease; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002051:Burkitt Lymphoma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D002648:Child; D003113:Colonoscopy; D003937:Diagnosis, Differential; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007078:Ileal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography