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Case Report
Adult small bowel intussusception secondary to Burkitt lymphoma
1 Associate Lecturer, University of Queensland, QLD, Australia
2 General Surgical Department, Toowoomba Hospital, Australia
3 Assistant Professor (Surgery), OSD, BSMMU, Bangladesh
4 Fellow Upper Gastrointestinal Surgery, The Queen Elizabeth Hospital, Adelaide, Australia
Address correspondence to:
Bertrand Ng Ren Joon
116 Water Street, South Toowoomba, QLD 4350,
Australia
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Article ID: 100070Z12BJ2020
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Joon BNR, Arafat Y, Alam I, Gaur V. Adult small bowel intussusception secondary to Burkitt lymphoma. J Case Rep Images Surg 2020;6:100070Z12BJ2020.ABSTRACT
Introduction: Intussusception results from telescoping of proximal gastrointestinal segment into a distal segment. It is infrequent cause of bowel obstruction in adults in comparison to children. Hence, it is important for surgeons to be aware of this condition in adults presenting with symptoms of bowel obstruction. We present a rare case of an adult small bowel intussusception secondary to Burkitt lymphoma along with a literature review.
Case Report: A 69-year-old gentleman presented to the emergency department (A&E) with two days history of generalized colicky abdominal pain along with symptoms of obstipation. There is no previous history of abdominal surgery. A computed tomography (CT) abdomen and pelvis demonstrated an enteroenteric intussusception in the right mid abdomen resulting in small bowel obstruction. He underwent an emergency laparotomy. Intraoperatively, there was an enteroenteric intussusception and he had a resection of the segment. Histology revealed a non-Hodgkin high grade B cell lymphoma. He was well after and was transferred to hematology team for further treatment.
Conclusion: Intussusception in adult is rare and could prove challenging for clinician as some diagnoses are only made intraoperatively. Awareness and early recognition of Burkitt lymphoma as a possible differential diagnosis in adult with intussusception is essential as further imaging and early referral to hematology unit could confer early intervention.
Keywords: Adult, Burkitt lymphoma, Enteroenteric, Intussusception, Laparotomy
SUPPORTING INFORMATION
Author Contributions
Bertrand Ng Ren Joon - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Yasser Arafat - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ishtiaq Alam - Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vishvendra Gaur - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsUniversity of Queensland, Australia.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Bertrand Ng Ren Joon et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
