Journal of the Formosan Medical Association
Volume 109, Issue 6 , Pages 476-479, June 2010

Ileocecal Burkitt's Lymphoma Presenting as Ileocolic Intussusception With Appendiceal Invagination and Acute Appendicitis

  • Sheng-Mine Wang

      Affiliations

    • Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • ,
  • Fu-Chen Huang

      Affiliations

    • Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Fu-Chen Huang, Department of Pediatrics, Chang Gung Memorial, Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • ,
  • Chi-Hung Wu

      Affiliations

    • Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • ,
  • Sheung-Fat Ko

      Affiliations

    • Department of Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • ,
  • Shin-Ye Lee

      Affiliations

    • Department of Pediatric Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
    • ,
  • Chih-Cheng Hsiao

      Affiliations

    • Department of Pediatric Oncology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan

Received 5 September 2007; received in revised form 8 March 2008; accepted 25 August 2008.

Article Outline

Intussusception is a common cause of abdominal pain in children. Although most cases are idiopathic, about 10% of cases have a pathologic lead point. Burkitt's lymphoma is not a common etiology. Burkitt's lymphoma might present primarily as intussusception in children but has rarely been associated with appendicitis. We report a case in which a 10-year-old obese boy who initially presented with acute appendicitis due to ileocolic intussusception with appendiceal invagination. He underwent one-trocar laparoscopy and antibiotic treatment. The symptoms recurred 10 days after discharge. Colonoscopy disclosed ileocecal Burkitt's lymphoma as the pathological lead point. This case emphasizes the importance of the age of the patient and the anatomic location of the intussusception related to possible etiology, and hence the most appropriate surgical procedure.

Key Words:  appendicitis , childhood cancer , intussusception , lymphoma

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PII: S0929-6646(10)60080-0

doi:10.1016/S0929-6646(10)60080-0

Journal of the Formosan Medical Association
Volume 109, Issue 6 , Pages 476-479, June 2010

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