Wagh Amol N, Ganesan Balamurugan, Jawale Hemant M, Mishra Rahul A, Bhatt Rajeshwari
Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.
Clin Pract. 2020 Oct 16;10(4):1292. doi: 10.4081/cp.2020.1292. eCollection 2020 Oct 15.
Adult intussusception represents 5% of all intussusceptions. Primary gastro-intestinal lymphoma comprises 1%-4% of all gastro- intestinal malignancies 90% of them are B-cell non-Hodgkin's lymphoma (NHL). Most common NHL is diffuse large B-cell lymphoma accounts for 30-40%. Most common lymphoma causing intussusception is diffuse large B-cell lymphoma (DLBCL). We herein report a rare case of ileo-colic intussusception due to DLBCL in a 50- years-old male. Computed tomography showed ileo-colic intussusception with possibility of neoplastic etiology as a lead point. Hemicolectomy with ileo-colic anastomosis was done laparoscopically with post-operative chemotherapy. Subsequently, whole body positron emission tomography-computed tomography verified complete resolution of the malignancy. This study aims to present a rare case of ileo-colic intussusception due to non- Hodgkin's B-cell lymphoma in a patient with unusual clinical course and highlight the importance of not only the timely surgical intervention but also the significance of strict adherence to follow up and chemotherapy will completely eradicate the malignancy.
成人肠套叠占所有肠套叠病例的5%。原发性胃肠道淋巴瘤占所有胃肠道恶性肿瘤的1%-4%,其中90%为B细胞非霍奇金淋巴瘤(NHL)。最常见的NHL是弥漫性大B细胞淋巴瘤,占30%-40%。引起肠套叠最常见的淋巴瘤是弥漫性大B细胞淋巴瘤(DLBCL)。我们在此报告一例50岁男性因DLBCL导致回结肠套叠的罕见病例。计算机断层扫描显示回结肠套叠,可能由肿瘤病因作为引导点。通过腹腔镜进行了半结肠切除术及回结肠吻合术,并进行了术后化疗。随后,全身正电子发射断层扫描-计算机断层扫描证实恶性肿瘤已完全消退。本研究旨在呈现一例因非霍奇金B细胞淋巴瘤导致回结肠套叠的罕见病例,该患者临床病程不寻常,并强调不仅及时手术干预的重要性,而且严格坚持随访和化疗对于完全根除恶性肿瘤的意义。