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Open Access 01-12-2016 | Letter to the Editor

An unusual and malignant intussusception in a child

Authors: Gabriella D’Angelo, Lucia Marseglia, Marta Manti, Giovanni Stroscio, Daniela Impollonia, Salvatore Arena, Pietro Impellizzeri, Carmelo Salpietro, Carmelo Romeo, Eloisa Gitto

Published in: Italian Journal of Pediatrics | Issue 1/2016

Abstract

Intussusception is a common cause of bowel obstruction in the pediatric population. Malignant lesions account for up to 30 % of all cases of intussusception in the small intestine. We herein report an interesting case of ileo-colic intussusception caused by diffuse large B-cell lymphoma, in a child. The patient underwent laparoscopic right hemicolectomy. Pathologic evaluation revealed a diffuse large B-cell lymphoma.

In cases of intussusception, especially in the older age group of children, a high index of suspicion for malignant lymphoma of the bowel should be observed.

Mehendale S, Kumar CP, Venkatasubramanian S, Prasanna T. Intussusception in Children Aged Less than Five years. Indian J Pediatr. 2016. [Epub ahead of print].

Bk G, Hm Q, Pk C, Tan K, Tay K, Kw E, et al. Predictive factors of malignancy in adults with intussusception. World J Surg. 2006;30:1300–4.CrossRef

Akbulut S. Unusual cause of adult intussusception: diffuse large B-cell non-Hodgkin’s lymphoma: a case report and review. Eur Rev Med Pharmacol Sci. 2012;16:1938–46.PubMed

Ghimire P, Wu GY, Zhu L. Primary gastrointestinal lymphoma. World J Gastroenterol. 2011;17:697–707.CrossRefPubMedPubMedCentral

Xu XQ, Hong T, Li BL, Liu W. Ileo-ileal intussusception caused by diffuse large B-cell lymphoma of the ileum. World J Gastroenterol. 2013;19:8449–52.CrossRefPubMedPubMedCentral

Stein H, Warnke RA, Chan WC, Jaffe ES, Chan JKC, Gatter KC, Campo E, et al. Diffuse large B-cell lymphoma, not otherwise specified. In: Swerdlow SH, Campo E, Harris NL, editors. WHO classification of tumours of haematopoietic and lymphoid tissues. 4th ed. Lyon, France: IARC; 2008. p. 233–7.

Simpson T, Ivey J, Borkowski S. Pediatric management problems. Intussusception Pediatr Nurs. 2004;30:326–7.PubMed

Kim SJ, Kang HJ, Kim JS. Comparison of treatment strategies for patients with intestinal diffuse large B-cell lymphoma: surgical resection followed by chemotherapy versus chemotherapy alone. Blood. 2011;117:1958.CrossRefPubMed

Inaba K, Kushima R, Murakami N, Kuroda Y, Harada K, Kitaguchi M, et al. Increased risk of gastric adenocarcinoma after treatment of primary gastric diffuse large B-cell lymphoma. BMC Cancer. 2013;13:499.CrossRefPubMedPubMedCentral

Title: An unusual and malignant intussusception in a child
Authors: Gabriella D’Angelo
Lucia Marseglia
Marta Manti
Giovanni Stroscio
Daniela Impollonia
Salvatore Arena
Pietro Impellizzeri
Carmelo Salpietro
Carmelo Romeo
Eloisa Gitto
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Italian Journal of Pediatrics / Issue 1/2016
Electronic ISSN: 1824-7288
DOI: https://doi.org/10.1186/s13052-016-0283-2

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An unusual and malignant intussusception in a child

Abstract

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Abstract

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