A Case of Adult Burkitt's Lymphoma Presented with Ileocecal Intussusception

Yasuhiro Kouchi, Masatoshi Shigeta, Shinobu Tomochika, Mitsuhiro Nakao, Yuji Fujita, Makoto Miyahara, Hidefumi Kubo, Hiroyasu Hasegawa, and Hiroshi Miyashita

Department of Surgery, Social Insurance Tokuyama Central Hospital

We report a case of adult Burkitt's lymphoma with ileocecal intussusception. A 67-year-o1d man admitted for multiple colon polyps. He had suffered from intermittent abdominal pain, nausea, vomiting, and anorexia for 1 month. Abdominal ultrasonography showed ileocecal intussusception. Preoperative colonoscopy and barium enema showed that a tumor of Bauhin's valve had caused intussusception. We conducted right hemicolectomy including the intussusception. Histologically, the resected tumor was diagnosed as Burkitt's lymphoma. Serum EBV-VCA IgG was 320 times that of normal. Eleven months after chemotherapy, no evidence exists of Burkitt's lymphoma recurrence. We review 5 Japanese reports of Burkitt's lymphoma associated with adult intussusception and their clinical features.

Key words
Burkitt's lymphoma, intussusception

Reprint requests
Yasuhiro Kouchi Department of Surgery, Social Insurance Tokuyama Central Hopital 1-1 Kodacho, Tokuyama, 745-8522 JAPAN

Accepted
January 22, 2003

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