title: Successful management of adult lymphoma-associated intussusception by laparoscopic reduction and appendectomy.
abstract: Although primary gastrointestinal lymphoma is a rare malignancy, it can cause an intussusception in adults and can be a clinically challenging condition to manage. Intussusception could progress to life-threatening complications if left untreated or could delay chemotherapy if inappropriate surgical management is used. We report a 31-year-old man diagnosed with human immunodeficiency virus who was being treated with antiretroviral therapy. He presented with nausea, vomiting, poor appetite, and intermittent, cramping abdominal pain for over 1 wk. Abdominal computed tomography revealed a well-defined homogeneous mass in the mesenteric root region, together with a long segmental wall thickening in the ileum with ileocolic-type intussusception, which was suspected to be caused by a lymphoma. The intussusception was successfully laparoscopically reduced, and the tumor involvement of the appendix was confirmed by appendectomy with intraoperative frozen section. Systemic chemotherapy was immediately initiated after surgery without the need for bowel resection.
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Ta-Wei
authors.initials: TW
authors.lastname: Yang
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Yen-Yue
authors.initials: YY
authors.lastname: Lin
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Yi-Wei
authors.initials: YW
authors.lastname: Tsuei
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Yen-Lin
authors.initials: YL
authors.lastname: Chen
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Cheng-Yi
authors.initials: CY
authors.lastname: Huang
authors.affiliation: Ta-Wei Yang, Yen-Yue Lin, Yi-Wei Tsuei, Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Longtan 325, Taoyuan, Taiwan.
authors.forename: Sheng-Der
authors.initials: SD
authors.lastname: Hsu
mesh_terms: D000328:Adult; D001062:Appendectomy; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D003110:Colonic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003113:Colonoscopy; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007078:Ileal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007080:Ileocecal Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D007150:Immunohistochemistry; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Adult; Appendectomy; Intestinal lymphoma; Intussusception