title: Ileocolic intussusception as a presenting sign of primary lymphoma of the colon.
abstract: BACKGROUND
  Intussusception is a rare phenomenon in adults. It is caused mainly by malignant neoplasm. Primary lymphoma of the colon is a rare malignancy of the large intestine. The association of intussusception in adult and primary colorectal lymphoma is a diagnostic challenge, since they occur with a variety of atypical symptoms.
  
  
  METHODS
  We report a case of ileocolic intussusception in a 26-year-old man induced by primary lymphoma of the cecum. He was admitted to our hospital for incomplete intestinal obstruction. After thorough diagnostic work-up (plain abdominal radiography, abdominal ultrasonography, multi-slice computerized tomography, colonoscopy with biopsy), the patient underwent surgery. Intraoperative findings confirmed lymphoma as the cause of intussusception. The right hemicolectomy was carried out with end-to-side ileo-transverse anastomosis.
  
  
  CONCLUSIONS
  Primary colorectal lymphomas should be considered in differential diagnosis of intussusceptions in adults. The treatment of choice is a radical resection where all oncological standards must be fulfilled.
authors: Clinic for General Surgery, Clinical Centre, Nis, Serbia. milica20@yahoo.com
authors: Milica
authors: M
authors: Nestorović
authors: Goran
authors: G
authors: Stanojević
authors: Vesna
authors: V
authors: Brzacki
authors: Vesna
authors: V
authors: Milojković
authors: Branko
authors: B
authors: Branković
authors: Vanja
authors: V
authors: Pecić
authors: Ivan
authors: I
authors: Pesić
authors: Igor
authors: I
authors: Smiljković
mesh_terms: D000328:Adult; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D007443:Intussusception / Q000209:etiology*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000175:diagnosis*; D008297:Male