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 Gastroenteroljournal_title
World journal of gastroenterologyauthors
Yang TW,Lin YY,Tsuei YW,Chen YL,Huang CY,Hsu SDdoi
10.3748/wjg.v22.i19.4781subject
Has Abstractpub_date
2016-05-21 00:00:00pages
4781-5issue
19eissn
1007-9327issn
2219-2840journal_volume
22pub_type
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