Moertel C L, Watterson J, Drake D G, Johnson K W, Brennom W S
Department of Hematology/Oncology, Children's Hospital, St. Paul, Minnesota 55102.
Pediatr Radiol. 1993;23(6):467-8. doi: 10.1007/BF02012455.
A boy with abdominal Burkitt's lymphoma developed rectal bleeding, abdominal distension, pain, and fever three weeks after diagnosis. Imaging studies revealed a necrotic tumor mass allowing a fistulous pathway from the ileum to the proximal colon. A laparotomy was performed, with resection of the large necrotic tumor. The child recovered, and has had no further evidence of Burkitt's disease. The radiological evaluation performed in this case ensured proper medical management and surgical intervention during a life-threatening event. The possibility of bowel perforation as a complication of therapy for abdominal lymphoma must be recognized.
一名患有腹部伯基特淋巴瘤的男孩在诊断后三周出现直肠出血、腹胀、疼痛和发热。影像学检查显示有一个坏死的肿瘤肿块，存在一条从回肠至近端结肠的瘘管通道。进行了剖腹手术，切除了巨大的坏死肿瘤。患儿康复，且未再有伯基特病的迹象。该病例所进行的放射学评估确保了在危及生命的事件中采取恰当的医疗管理和手术干预。必须认识到肠道穿孔作为腹部淋巴瘤治疗并发症的可能性。
