Chinthagada Jacob E, Gorman Patrick T, Fogle Robert R, Kutaish Nadeem, Diep David
University of Toledo College of Medicine and Life Sciences, 3000 Arlington Avenue, Toledo, OH 43614, United States.
Promedica Pathology, Consultants in Laboratory Medicine, 2130 West Central Avenue, Toledo, OH 43606, United States.
J Surg Case Rep. 2025 Jul 1;2025(6):rjaf460. doi: 10.1093/jscr/rjaf460. eCollection 2025 Jun.
Adult intussusception is rare, representing 1% of all small bowel obstructions. The most common cause of adult intussusception is a pathological lead point such as a malignancy. Presenting symptoms can vary, and computed tomography (CT) imaging can aid in the preoperative diagnosis. A 27-year-old male presented to the emergency department with several weeks of diffuse abdominal pain, nausea, and vomiting. A CT scan revealed an abnormal ileocolic configuration with intussusception of the distal ileal loop through the cecum causing a high-grade small bowel obstruction. The patient underwent exploratory laparotomy to relieve the small bowel obstruction caused by the intussusception. A mass was identified intraoperatively which was originating from the terminal ileum. Pathological analysis determined the mass to be Burkitt lymphoma. When adult intussusception is identified, there must be a low index of suspicion for a malignant cause. Burkitt lymphoma was definitively diagnosed after primary resection with histopathology and immunohistochemistry.
成人肠套叠较为罕见，占所有小肠梗阻病例的1%。成人肠套叠最常见的病因是病理性引导点，如恶性肿瘤。其临床表现各异，计算机断层扫描（CT）成像有助于术前诊断。一名27岁男性因数周的弥漫性腹痛、恶心和呕吐就诊于急诊科。CT扫描显示回结肠形态异常，远端回肠袢经盲肠套叠，导致高位小肠梗阻。患者接受了剖腹探查术以解除由肠套叠引起的小肠梗阻。术中发现一个肿物，起源于回肠末端。病理分析确定该肿物为伯基特淋巴瘤。当确诊为成人肠套叠时，必须高度怀疑恶性病因。经组织病理学和免疫组化检查，在初次切除术后确诊为伯基特淋巴瘤。
