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

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

World journal of gastroenterology - 22(2016), 19 vom: 21. Mai, Seite 4781-5

Sprache:

Englisch

Beteiligte Personen:

Yang, Ta-Wei [VerfasserIn]
Lin, Yen-Yue [VerfasserIn]
Tsuei, Yi-Wei [VerfasserIn]
Chen, Yen-Lin [VerfasserIn]
Huang, Cheng-Yi [VerfasserIn]
Hsu, Sheng-Der [VerfasserIn]

Links:

Volltext

Themen:

Adult
Appendectomy
Case Reports
Intestinal lymphoma
Intussusception
Journal Article

Anmerkungen:

Date Completed 10.04.2017

Date Revised 13.11.2018

published: Print

Citation Status MEDLINE

doi:

10.3748/wjg.v22.i19.4781

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM260679437