A Case of Adult Intussusception due to Mantle Cell Lymphoma which Showed Multiple Lymphomatous Polyposis

Tsutomu Hayashi, Hiroharu Suzuki, Kimiatsu Hasuo, Yasuyuki Jin, Hiroshi Tamagawa, Yasushi Rino* and Munetaka Masuda*

Department of Surgery, Hadano Red Cross Hospital
Department of Surgical Therapeutics, Yokohama City University*

A 63-years-old man admitted for epigastralgia, nausea, and diarrhea was found in abdominal X-ray imaging to have considerable dilated small-intestine gas. CT showed a target sign with a fat component in the lower right quadrant and gastric wall thickening. Upper gastrointestinal endoscopy showed a rough gastric mucosal surface and giant fold. Forceps biopsy specimens from all lesions suggested malignant lymphoma, necessitating laparotomy to diagnose and reposition a suspected intussusception. No intussusception was seen, but was found numerous submucosal tumors in ileocecal lesion. Histopathological examination following biopsy yielded a diagnosis of mantle cell lymphoma. The man had multiple gastric and ileal polyposis and intussusception was caused by polyposis of the terminal ileum. Intussusception in adults due to mantle cell lymphoma is rare, with only 7 cases, including ours, in the literature.

Key words
intussusception, multiple lymphomatous polyposis, mantle cell lymphoma

Reprint requests
Tsutomu Hayashi Department of Surgery, Saiseikai Yokohamashi Nanbu Hospital
3-2-10 Kounanndai, Kohnan-ku, Yokohama, 234-8503 JAPAN

Accepted
May 21, 2008

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