Ileocecal Burkitt's Lymphoma Presenting as Ileocolic Intussusception With Appendiceal Invagination and Acute Appendicitis

Sheng Mine Wang, Fu Chen Huang*, Chi Hung Wu, Sheung Fat Ko, Shin Ye Lee, Chih Cheng Hsiao

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

16 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)476-479
Number of pages4
JournalJournal of the Formosan Medical Association
Volume109
Issue number6
DOIs
StatePublished - 06 2010

Keywords

  • appendicitis
  • childhood cancer
  • intussusception
  • lymphoma

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