Chronic Ileocolic Intussusception Caused by a High Grade Non-Hodgkin B cell Lymphoma in a 36-Year-Old Patient

Abstract

Case Presentation: Here we present a case of 36-year-old patient, who presented with recent history of altered bowel habits and constitutional symptoms. Endoscopy revealed invagination of distal ileum into caecum. CT scan showed a mass lesion in the caecum. Intraoperatively, an ileo-caecal intussusception with associated mesenteric lymph node mass was evident. Patient underwent right hemicolectomy with an end to end ileo-colic anastomosis. Histology revealed a high grade non-hodgkin B cell lymphoma of the caecum. Tumour had involved the full circumference of the caecum.Discussion: Chronic Intussusception is a rare entity and its presentation is atypical to that of an acute one. This entity in adults is even rarer and accurate diagnosis is challenging. Surgical treatment allowed accurate diagnosis, reduction of tumour volume and relieving of gastrointestinal symptoms.