A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon
Authors: Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan
Background: Intussusception in adults is distinct from pediatric intussusception in many aspects. In contrast to intussusceptions in children, a demonstrable etiology is found in 70%-95% of the cases in the adult population, and approximately 40% of them are caused by primary or secondary malignant neoplasms. But lymphomas, as a cause of lead point in adult intussusception, are extremely rare and only less than 50 cases have been reported in the literature. Case Presentation: We are reporting a 44-year-old male who presented with a right iliac fossa mass and clinical features of intussusception and who was operated upon. Per-operative findings were consistent with ileocecal intussusception and a radical right hemicolectomy was conducted. Histopathological examination revealed it as a case of Diffuse Large B Cell Lymphoma presenting as the lead point. This case is discussed because of the rarity of the disease and possible cure if diagnosed early and treated aggressively. Conclusion: Ileocolic intussusception is adults is usually caused by malignancy and mostly as adenocarcinoma. Non-Hodgkin lymphoma as a lead point is extremely rare and is usually a histologic surprise. However, a radical en mass resection without reduction is ideal in all forms of adult colocolic and ileocolic intussusception.
Keywords: Ileocolic, intussusception, diffuse large B cell lymphoma (DLBCL)
Authors
Correspondence to:
Ravindran Chirukandath, Additional Professor General Surgery, Goverment Medical College, Thrissur, India ravimen@gmail.com
Publication history:
Received 01 Sep 2020
Revised 24 Oct 2020
Accepted 24 Oct 2020
Published online 18 Dec 2020
Published in print 29 Dec 2020
Chirukandath R, Babu A, Dev AM, Vijay RMG, Radhakrishnan L, Sreedharan SP. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. 2020; 4(12): 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath R, Babu A, Dev AM, Vijay RMG, Radhakrishnan L, Sreedharan SP. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. https://www.ejmcr.com/?mno=130127 [Access: April 20, 2024]. doi:
10.24911/ejmcr/173-1598794282
Chirukandath R, Babu A, Dev AM, Vijay RMG, Radhakrishnan L, Sreedharan SP. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. 2020; 4(12): 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath R, Babu A, Dev AM, Vijay RMG, Radhakrishnan L, Sreedharan SP. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. (2020), [cited April 20, 2024]; 4(12): 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath, R., Babu, . A., Dev, . A. M., Vijay, . R. M. G., Radhakrishnan, . L. & Sreedharan, . S. P. (2020) A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR, 4 (12), 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath, Ravindran, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, and Sreelekha Padinjekara Sreedharan. 2020. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. European Journal of Medical Case Reports, 4 (12), 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath, Ravindran, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, and Sreelekha Padinjekara Sreedharan. "A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon." European Journal of Medical Case Reports 4 (2020), 445-448. doi:
10.24911/ejmcr/173-1598794282
Chirukandath, Ravindran, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, and Sreelekha Padinjekara Sreedharan. "A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon." European Journal of Medical Case Reports 4.12 (2020), 445-448. Print. doi:
10.24911/ejmcr/173-1598794282
Chirukandath, R., Babu, . A., Dev, . A. M., Vijay, . R. M. G., Radhakrishnan, . L. & Sreedharan, . S. P. (2020) A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. European Journal of Medical Case Reports, 4 (12), 445-448. doi:
10.24911/ejmcr/173-1598794282