A rare case report of large B cell lymphoma in adult presentation as intussusception

  • Amol N. Wagh Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.
  • Balamurugan Ganesan Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.
  • Hemant M. Jawale | hjawale02@gmail.com Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India. https://orcid.org/0000-0002-0641-3397
  • Rahul A. Mishra Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.
  • Rajeshwari Bhatt Department of General Surgery, Grant Government Medical College and Sir J.J. group of Hospitals, Mumbai, India.

Abstract

Adult intussusception represents 5% of all intussusceptions. Primary gastro-intestinal lymphoma comprises 1%-4% of all gastro-intestinal malignancies 90% of them are B-cell non-Hodgkin’s lymphoma (NHL). Most common NHL is diffuse large B-cell lymphoma accounts for 30-40%. Most common lymphoma causing intussusception is diffuse large B-cell lymphoma (DLBCL). We herein report a rare case of ileo-colic intussusception due to DLBCL in a 50- years-old male. Computed tomography showed ileo-colic intussusception with possibility of neoplastic etiology as a lead point. Hemicolectomy with ileo-colic anastomosis was done laparoscopically with post-operative chemotherapy. Subsequently, whole body positron emission tomography-computed tomography verified complete resolution of the malignancy. This study aims to present a rare case of ileo-colic intussusception due to non- Hodgkin’s B-cell lymphoma in a patient with unusual clinical course and highlight the importance of not only the timely surgical intervention but also the significance of strict adherence to follow up and chemotherapy will completely eradicate the malignancy.

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Published
2020-10-16
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Issue
Section
Case Reports
Keywords:
Ileo-colic intussusception, B-cell non-Hodgkin’s lymphoma, diffuse large B-cell lymphoma, ileo-colic anastomosis, RCHOP regimen.
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How to Cite
Wagh, A. N., Ganesan, B., Jawale, H. M., Mishra, R. A., & Bhatt, R. (2020). A rare case report of large B cell lymphoma in adult presentation as intussusception. Clinics and Practice, 10(4). https://doi.org/10.4081/cp.2020.1292