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Saka R, Sasaki T, Matsuda I, et al. Chronic ileocolic intussusception due to transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy: a case report. Springerplus. 2015;4:366doi: 10.1186/s40064-015-1157-6.
Saka, R., Sasaki, T., Matsuda, I., Nose, S., Onishi, M., Fujino, T., Shimomura, H., Otsuka, Y., Kajimoto, N., Hirota, S., & Oue, T. (2015). Chronic ileocolic intussusception due to transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy: a case report. SpringerPlus, 4366. https://doi.org/10.1186/s40064-015-1157-6
Saka, Ryuta, et al. "Chronic ileocolic intussusception due to transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy: a case report." SpringerPlus vol. 4 (2015): 366. doi: https://doi.org/10.1186/s40064-015-1157-6
Saka R, Sasaki T, Matsuda I, Nose S, Onishi M, Fujino T, Shimomura H, Otsuka Y, Kajimoto N, Hirota S, Oue T. Chronic ileocolic intussusception due to transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy: a case report. Springerplus. 2015 Jul 22;4:366. doi: 10.1186/s40064-015-1157-6. eCollection 2015. PMID: 26207197; PMCID: PMC4508281.
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Springerplus. 2015 Jul 22;4:366. doi: 10.1186/s40064-015-1157-6. eCollection 2015.

Chronic ileocolic intussusception due to transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy: a case report.

SpringerPlus

Ryuta Saka, Takashi Sasaki, Ikuo Matsuda, Satoko Nose, Masafumi Onishi, Tetsurou Fujino, Hideki Shimomura, Yoshitoshi Otsuka, Noriko Kajimoto, Seiichi Hirota, Takaharu Oue

Affiliations

  1. Department of Pediatric Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo 6638501 Japan.
  2. Department of Surgical Pathology, Hyogo College of Medicine, Nishinomiya, Japan.
  3. Department of Pediatrics, Hyogo College of Medicine, Nishinomiya, Japan.

PMID: 26207197 PMCID: PMC4508281 DOI: 10.1186/s40064-015-1157-6

Abstract

Chronic intussusception, defined as intussusception continuing over 14 days, is rare in children. We herein report a case of chronic ileocolic intussusception caused by the transmural infiltration of diffuse large B cell lymphoma in a 14-year-old boy. The patient had been suffering from anorexia and intermittent abdominal pain for 5 weeks, during which his body weight decreased by around 7 kg. Upon admission to our hospital, ultrasonography and enhanced computed tomography (CT) of the abdomen showed ileocolic intussusception. A retrospective examination of abdominal CT led us to suspect that the intussusception had initially appeared 5 weeks before admission, presumably coinciding with the beginning of the patient's abdominal symptoms. Since hydrostatic reduction was unsuccessful, laparotomy was performed, which showed unreducible ileocolic intussusception with a marked edematous ileum and mesentery. Ileocecal resection without lymph node dissection was carried out, and a histological examination of the resected specimen revealed the transmural infiltration of diffuse large B-cell lymphoma of the terminal ileum. The patient's postoperative course was uneventful, and adjuvant chemotherapy was administered. This case illustrates the diagnostic challenges of confirming 'chronic' intussusception in older children.

Keywords: Chronic intussusception; Lymphoma

References

  1. Clin Nucl Med. 2014 Jan;39(1):97-8 - PubMed
  2. J Pediatr Surg. 2007 Jun;42(6):998-1001; discussion 1001 - PubMed
  3. J Pediatr Surg. 1992 Nov;27(11):1433-5 - PubMed
  4. Eur Rev Med Pharmacol Sci. 2012 Dec;16(14 ):1938-46 - PubMed
  5. Eur Radiol. 1998;8(8):1455-6 - PubMed
  6. Int J Hematol. 2008 May;87(4):375-81 - PubMed
  7. J Clin Oncol. 2001 Sep 15;19(18):3861-73 - PubMed
  8. Br J Surg. 1989 Aug;76(8):815-6 - PubMed
  9. Pediatr Neonatol. 2013 Jun;54(3):188-93 - PubMed
  10. Pediatr Radiol. 2009 Apr;39 Suppl 2:S140-3 - PubMed
  11. Br J Surg. 1976 Jan;63(1):33-5 - PubMed
  12. Cases J. 2009 Sep 01;2:6304 - PubMed
  13. Surgery. 2011 May;149(5):726-7 - PubMed
  14. Arch Dis Child. 1955 Apr;30(150):180-3 - PubMed

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