A complete ileo-tumor-colic fistula in a child with Burkitt's lymphoma

Abstract

A boy with abdominal Burkitt's lymphoma developed rectal bleeding, abdominal distension, pain, and fever three weeks after diagnosis. Imaging studies revealed a necrotic tumor mass allowing a fistulous pathway from the ileum to the proximal colon. A laparotomy was performed, with resection of the large necrotic tumor. The child recovered, and has had no further evidence of Burkitt's disease. The radiological evaluation performed in this case ensured proper medical management and surgical intervention during a life-threatening event. The possibility of bowel perforation as a complication of therapy for abdominal lymphoma must be recognized.

Duodenocolonic Fistula As A Rare Complication of Intestinal Burkitt Lymphoma in a Three-Year-Old Boy

“…Another case of abdominal BL complicated by a duodenocolonic fistula has not been described before. Altogether, only one case with enterocolonic fistula associated with an intestinal lymphoma was reported in an 86-year-old woman [16] and another case with an ileo-colonic fistula in a 12 year old boy [9]. Retrospectively we cannot decide whether this tumour originated from the colon ascendens and secondarily infiltrated the duodenum or contrastingly infiltrated the colon while originating from the duo- denum.…”