Intussusception Induced by Burkitt Lymphoma in an Adult Patient

Olivia Makenzie Boyette; Bradley Casey III; Stephanie Khadeejah Tom; Todd Nicholas Tom

doi:doi:10.11648/j.js.20200802.15

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Intussusception Induced by Burkitt Lymphoma in an Adult Patient

Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom

Published in Journal of Surgery (Volume 8, Issue 2)

Received: 30 January 2020 Accepted: 31 March 2020 Published: 14 April 2020

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Abstract

Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.

Published in	Journal of Surgery (Volume 8, Issue 2)
DOI	10.11648/j.js.20200802.15
Page(s)	67-70
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Colon Cancer, Burkitt Lymphoma, Colon Surgery, Colorectal Surgery, Abdominal Pain, Hand Assisted Laparoscopic Cecetomy, Ileocecal Valve, Colonoscopy, Intestinal Obstruction, Intussusception

References

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[2]	Wang, Ning et al. “Adult intussusception: a retrospective review of 41 cases.” World journal of gastroenterology vol. 15, 26 (2009): 3303-8. doi: 10.3748/wjg.15.3303.
[3]	Wiener-Carrillo, Isidoro et al. “Intussusception secondary to a carcinoid tumor in an adult patient.” International journal of surgery case reports vol. 5, 5 (2014): 265-7. doi: 10.1016/j.ijscr.2014.01.022.
[4]	Azar, T, and D L Berger. “Adult intussusception.” Annals of surgery vol. 226, 2 (1997): 134-8. doi: 10.1097/00000658-199708000-00003.
[5]	Lu, Teng, and Yi-mei Chng. “Adult intussusception.” The Permanente journal vol. 19, 1 (2015): 79-81. doi: 10.7812/TPP/14-125.
[6]	Barussaud, M., Regenet, N., Briennon, X. et al. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric study. Int J Colorectal Dis 21, 834–839 (2006). https://doi.org/10.1007/s00384-005-0789-3.
[7]	Bălănescu NR, Topor L, Malureanu D, Stoica I. Ileocolic intussusception due to Burkitt lymphoma: a case report. J Med Life. 2013; 6 (1): 61–64.
[8]	Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, Theodosopoulos T. Intussusception of the bowel in adults: A review. World J Gastroenterol 2009; 15 (4): 407-411.
[9]	Arjowan Mustafa, Lina Azzam, Hussam M. Azzam. A Case Report of a Primary Intususseption in Pregnancy. American Journal of Medical Case Reports. 2016; 4 (11): 357-360. doi: 10.12691/ajmcr-4-11-2.
[10]	Begos DG, Sandor A, Modlin IM. The diagnosis and management of adult intussusception. Am J Surg. 1997 Feb; 17 3 (2): 88–94. DOI: http://dx.doi.org/10.1016/S0002-9610(96)00419-9.
[11]	Eisen LK, Cunningham JD, Aufses AH., Jr Intussusception in adults: institutional review. J Am Coll Surg. 1999 Apr; 188 (4): 390–5. DOI: http://dx.doi.org/10.1016/S1072-7515(98)00331-7.
[12]	Khan, Adnan et al. “Primary Gastric Burkitt's lymphoma.” Pakistan journal of medical sciences vol. 33, 5 (2017): 1294-1297. doi: 10.12669/pjms.335.13002.
[13]	Erkan, Gulbanu et al. “A Burkitt's Lymphoma Case Mimicking Crohn's Disease: A Case Report.” Case reports in medicine vol. 2011 (2011): 685273. doi: 10.1155/2011/685273.
[14]	Seifarth FG, Triana J. Diagnosis and laparoscopic treatment of ileoileal intussusception secondary to heterotopic pancreas in an infant: case report and review of the literature. Journal of Pediatric Surgery. 2011; 46: 33–36.
[15]	Zubaidi A, Al-Saif F, Silverman R. Adult intussusception: a retrospective review. Dis Colon Rectum. 2006; 49: 1546–1551.

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APA Style

Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. (2020). Intussusception Induced by Burkitt Lymphoma in an Adult Patient. Journal of Surgery, 8(2), 67-70. https://doi.org/10.11648/j.js.20200802.15

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ACS Style

Olivia Makenzie Boyette; Bradley Casey III; Stephanie Khadeejah Tom; Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J. Surg. 2020, 8(2), 67-70. doi: 10.11648/j.js.20200802.15

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AMA Style

Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J Surg. 2020;8(2):67-70. doi: 10.11648/j.js.20200802.15

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@article{10.11648/j.js.20200802.15,
  author = {Olivia Makenzie Boyette and Bradley Casey III and Stephanie Khadeejah Tom and Todd Nicholas Tom},
  title = {Intussusception Induced by Burkitt Lymphoma in an Adult Patient},
  journal = {Journal of Surgery},
  volume = {8},
  number = {2},
  pages = {67-70},
  doi = {10.11648/j.js.20200802.15},
  url = {https://doi.org/10.11648/j.js.20200802.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200802.15},
  abstract = {Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.},
 year = {2020}
}

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TY  - JOUR
T1  - Intussusception Induced by Burkitt Lymphoma in an Adult Patient
AU  - Olivia Makenzie Boyette
AU  - Bradley Casey III
AU  - Stephanie Khadeejah Tom
AU  - Todd Nicholas Tom
Y1  - 2020/04/14
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200802.15
DO  - 10.11648/j.js.20200802.15
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 67
EP  - 70
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200802.15
AB  - Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.
VL  - 8
IS  - 2
ER  -

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Author Information

Olivia Makenzie Boyette

Kentucky College of Osteopathic Medicine, University of Pikeville, Pikeville, United States of America
Bradley Casey III

Ross University School of Medicine, Ross University, Bridgetown, Barbados
Stephanie Khadeejah Tom

University of Louisville School of Medicine, University of Louisville, Louisville, United States of America
Todd Nicholas Tom

Department of General Surgery, Tug Valley ARH Regional Medical Center, South Williamson, United States of America

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Plain Text BibTeX RIS

APA Style

Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. (2020). Intussusception Induced by Burkitt Lymphoma in an Adult Patient. Journal of Surgery, 8(2), 67-70. https://doi.org/10.11648/j.js.20200802.15

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ACS Style

Olivia Makenzie Boyette; Bradley Casey III; Stephanie Khadeejah Tom; Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J. Surg. 2020, 8(2), 67-70. doi: 10.11648/j.js.20200802.15

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AMA Style

Olivia Makenzie Boyette, Bradley Casey III, Stephanie Khadeejah Tom, Todd Nicholas Tom. Intussusception Induced by Burkitt Lymphoma in an Adult Patient. J Surg. 2020;8(2):67-70. doi: 10.11648/j.js.20200802.15

Copy | Download

@article{10.11648/j.js.20200802.15,
  author = {Olivia Makenzie Boyette and Bradley Casey III and Stephanie Khadeejah Tom and Todd Nicholas Tom},
  title = {Intussusception Induced by Burkitt Lymphoma in an Adult Patient},
  journal = {Journal of Surgery},
  volume = {8},
  number = {2},
  pages = {67-70},
  doi = {10.11648/j.js.20200802.15},
  url = {https://doi.org/10.11648/j.js.20200802.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200802.15},
  abstract = {Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Intussusception Induced by Burkitt Lymphoma in an Adult Patient
AU  - Olivia Makenzie Boyette
AU  - Bradley Casey III
AU  - Stephanie Khadeejah Tom
AU  - Todd Nicholas Tom
Y1  - 2020/04/14
PY  - 2020
N1  - https://doi.org/10.11648/j.js.20200802.15
DO  - 10.11648/j.js.20200802.15
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 67
EP  - 70
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20200802.15
AB  - Intussusception is defined as the telescoping of an intestinal region into an adjacent region of intestine. We present an interesting case of a retrograde intussusception due to an underlying Burkitt lymphoma. Case Presentation: We have a 41-year-old Caucasian male who presented to the Emergency Department (ED) with complaints of left sided periumbilical abdominal pain that began several months prior. Computed tomography (CT) scan of the abdomen and pelvis with oral and IV contrast showed a colonic mass in the region of the ileocecal valve. Patient denied any fever, vomiting, melena, or hematochezia. He was scheduled for a colonoscopy with surgical services. Upon colonoscopy, intussusception in the region of the ileocecal valve was discovered and cecectomy was scheduled for the same day. Intussusception was removed via hand assisted laparoscopic cecectomy with functional end-to-end anastomoses. Gross dissection of the specimen post cecectomy revealed a 5cm by 5cm mass as the lead point for intussusception (Figures 4, 5). The mass was sent for pathology which revealed Burkitt lymphoma. Conclusion: Intussusception is a rare cause of abdominal pain in adults but should be considered because it may be an indicator of underlying malignancy. Unlike intussusception in the pediatric patient, which can be managed non-operatively, treatment in adults is usually surgery.
VL  - 8
IS  - 2
ER  -

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