Successful management of adult lymphoma-associated intussusception by laparoscopic reduction and appendectomy.

Abstract:

:Although primary gastrointestinal lymphoma is a rare malignancy, it can cause an intussusception in adults and can be a clinically challenging condition to manage. Intussusception could progress to life-threatening complications if left untreated or could delay chemotherapy if inappropriate surgical management is used. We report a 31-year-old man diagnosed with human immunodeficiency virus who was being treated with antiretroviral therapy. He presented with nausea, vomiting, poor appetite, and intermittent, cramping abdominal pain for over 1 wk. Abdominal computed tomography revealed a well-defined homogeneous mass in the mesenteric root region, together with a long segmental wall thickening in the ileum with ileocolic-type intussusception, which was suspected to be caused by a lymphoma. The intussusception was successfully laparoscopically reduced, and the tumor involvement of the appendix was confirmed by appendectomy with intraoperative frozen section. Systemic chemotherapy was immediately initiated after surgery without the need for bowel resection.

journal_name

World J Gastroenterol

authors

Yang TW,Lin YY,Tsuei YW,Chen YL,Huang CY,Hsu SD

doi

10.3748/wjg.v22.i19.4781

subject

Has Abstract

pub_date

2016-05-21 00:00:00

pages

4781-5

issue

19

eissn

1007-9327

issn

2219-2840

journal_volume

22

pub_type

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