title: Burkitt lymphoma with unusual presentation: Acute pancreatitis.
abstract: Pancreatitis due to malignant infiltration is an uncommon condition in childhood. Pancreatic lymphomas constitute <2% of all non-Hodgkin lymphomas. Only six reported cases with various clinical presentation have been documented in the literature. Described herein is the case of a nine-year-old boy with abdominal pain, jaundice, emesis, weight loss, diarrhea, who developed hyperlipidemia and cholestasis. Pancreatitis was suspected due to high amylase and lipase. Computed tomography and magnetic resonance cholangiopancreatography showed diffuse enlargement of the pancreas. This sausage pancreas imaging was suggestive of autoimmune pancreatitis, but the patient was diagnosed with Burkitt lymphoma on bone marrow aspiration, and rapidly improved with chemotherapy. Burkitt lymphoma should be kept in mind when patients present with pancreatitis, especially with diffuse enlarged pancreas.
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Turkey.
authors.forename: Tugba
authors.initials: T
authors.lastname: Koca
authors.affiliation: Department of Pediatrics, School of Medicine, Süleyman Demirel University, Isparta, Turkey.
authors.forename: Nagehan
authors.initials: N
authors.lastname: Aslan
authors.affiliation: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Dereci
authors.affiliation: Department of Pediatrics, School of Medicine, Süleyman Demirel University, Isparta, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Akcam
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D002051:Burkitt Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D049448:Cholangiopancreatography, Magnetic Resonance; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents
keywords: burkitt lymphoma; children; pancreatitis