伯基特淋巴瘤导致肠套叠作为急腹症：一例报告
Intussusceptions as acute abdomen caused by Burkitt lymphoma: a case report.
作者信息
Hoxha Faton T, Hashani Shemsedin I, Krasniqi Avdyl S, Kurshumliu Fisnik I, Komoni Driton S, Hasimja Shpresa M, Maxhuni Mehmet
机构信息
University Clinical Centre of Kosova, Rrethi Spitalit str p n, Prishtina 10000, Republic of Kosovo.
出版信息
Cases J. 2009 Dec 14;2:9322. doi: 10.1186/1757-1626-2-9322.
INTRODUCTION
Burkitt's lymphoma is a highly malignant, aggressive and rapidly growing B-cell neoplasm, which has low long-term survival rates. The abdomen is the most frequent onset site of non endemic Burkitt's lymphoma. Symptoms are often misleading and make diagnosis difficult. Ileum intussusception as acute abdomen caused by Burkitt lymphoma is rare.
CASE PRESENTATION
We are presenting a case of a 16 year-old male with acute abdomen, which three weeks prior initially has been surgically treated for acute appendicitis and Meckel diverticulitis. Following this was a second urgent operation of ileoileal intusussception caused by Burkitt lymphoma. Right extended haemicolectomy was performed.
CONCLUSION
Affected terminal ileum by Burkitt's lymphoma may mimic clinically acute appendicitis and investigation tools sometimes may not provide proper diagnosis. Complete resection results in improved survival.
引言
伯基特淋巴瘤是一种高度恶性、侵袭性强且生长迅速的B细胞肿瘤，长期生存率较低。腹部是非地方性伯基特淋巴瘤最常见的发病部位。症状往往具有误导性，导致诊断困难。由伯基特淋巴瘤引起的回肠套叠作为急腹症较为罕见。
病例报告
我们报告一例16岁男性急腹症病例，该患者三周前最初因急性阑尾炎和梅克尔憩室炎接受了手术治疗。随后因伯基特淋巴瘤导致回肠套叠进行了第二次紧急手术。实施了右半结肠扩大切除术。
结论
伯基特淋巴瘤累及末端回肠在临床上可能类似急性阑尾炎，而检查手段有时可能无法提供准确诊断。完整切除可提高生存率。
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