Rare presentation of chronic ileocecal intussusception secondary to Burkitt�s lymphoma in three years Sudanese boy: a case report and literature review

Abstract

A case report of chronic ileocecal intussusceptions in 3-years old Sudanese boy diagnosed as abdominal Burkett's lymphoma as leading point, who presented to his local hospital severely wasted with prolonged abdominal symptoms. Ultra sound and computed tomographic scan of his abdomen and pelvis with oral contrast confirmed intussusception. He was referred to pediatric surgical department and underwent laparotomy confirming ileocecal intussusception with resection of gangrenous part of his large and small bowel with end-to-end anastomosis. Histopathology of resected part showed infiltration of small bowel with cells of Burkett's lymphoma. This case highlights the importance of considering chronic intussusception, though rare, as a cause of faltering growth in young children with prolonged abdominal symptoms. The multidisplinary approach was highly appreciated and the outcome was satisfactory.

Sporadic Burkitt’s lymphoma presenting as intussusceptions in a 12-year-old Chinese boy

“…Intussusception is usually seen at young infants. Chronic intussusceptions as a clinical entity is poorly recognized and rarely included in the differential diagnosis of prolonged abdominal symptoms for older child [5]. This case demonstrates the importance of considering chronic intussusception, though rare, in children of an atypical age group.…”

Untypical symptoms for rather uncommon surgical entities: report of two rare cases of secondary intussusception in children: a case report

“…However, secondary intussusception with a pathologic lead point of non-Hodgkin lymphoma (NHL) tumor is a rather rare condition [ 5 ], although there has been a recent publication with two such pathological sites at the same time, one as intussusception and the other as mandibular oedema [ 6 ]. Noteworthy is also the fact that Burkitt´s lymphoma has been proved responsible for cases of chronic intussusception among children [ 7 , 8 ]. However, only 10% of NHL is confined to the gastrointestinal tract [ 9 ].…”