Stohlner V, Chatzizacharias N A, Parthasarathy M, Groot-Wassink T
Department of Surgery, Ipswich Hospital, Ipswich, Suffolk IP4 5PD, UK.
Case Rep Surg. 2013;2013:619031. doi: 10.1155/2013/619031. Epub 2013 Jun 17.
Introduction. Intussusception is a rare cause of bowel obstruction in adults and is usually associated with an underlying pathology, benign, or malignant. This is a report of a case of jejunojejunal intussusception secondary to non-Hodgkin's B-cell lymphoma in an adult patient. Case Presentation. A 74-year-old male with no previous significant medical history presented with symptoms of acute intestinal obstruction. A CT scan of the abdomen and pelvis revealed 2 areas of jejunojejunal intussusception, which were surgically managed successfully. Histopathological examination of the specimen revealed the presence of high grade diffuse large B-cell-type non-Hodgkin's lymphoma, and the patient was referred to the oncology team for further management. Discussion. B-cell lymphoma is a rare but well-documented cause of intussusception in adults, with most cases being at the ileocolic region. We present a rare case of jejunojejunal intussusception as the initial presentation of non-Hodgkin's B-cell lymphoma in an adult patient.
引言。肠套叠是成人肠梗阻的罕见病因，通常与潜在的良性或恶性病理状况相关。本文报告一例成年患者因非霍奇金B细胞淋巴瘤继发空肠空肠套叠的病例。病例介绍。一名既往无重大病史的74岁男性出现急性肠梗阻症状。腹部和盆腔CT扫描显示两处空肠空肠套叠，经手术成功处理。标本的组织病理学检查显示存在高级别弥漫性大B细胞型非霍奇金淋巴瘤，该患者被转诊至肿瘤学团队进行进一步治疗。讨论。B细胞淋巴瘤是成人肠套叠的罕见但有充分文献记载的病因，大多数病例发生在回结肠区域。我们报告了一例罕见的空肠空肠套叠病例，其为成年患者非霍奇金B细胞淋巴瘤的首发表现。
