ArticleJournal of surgical case reports2025
Ileocolic intussusception as the initial presentation of Burkitt lymphoma in a 27-year-old male: a case report.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adult intussusception is rare, representing 1% of all small bowel obstructions. The most common cause of adult intussusception is a pathological lead point such as a malignancy. Presenting symptoms can vary, and computed tomography (CT) imaging can aid in the preoperative diagnosis. A 27-year-old male presented to the emergency department with several weeks of diffuse abdominal pain, nausea, and vomiting. A CT scan revealed an abnormal ileocolic configuration with intussusception of the distal ileal loop through the cecum causing a high-grade small bowel obstruction. The patient underwent exploratory laparotomy to relieve the small bowel obstruction caused by the intussusception. A mass was identified intraoperatively which was originating from the terminal ileum. Pathological analysis determined the mass to be Burkitt lymphoma. When adult intussusception is identified, there must be a low index of suspicion for a malignant cause. Burkitt lymphoma was definitively diagnosed after primary resection with histopathology and immunohistochemistry.
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