Case Report
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World J Gastroenterol. Dec 7, 2013; 19(45): 8449-8452
Published online Dec 7, 2013. doi: 10.3748/wjg.v19.i45.8449
Ileo-ileal intussusception caused by diffuse large B-cell lymphoma of the ileum
Xie-Qun Xu, Tao Hong, Bing-Lu Li, Wei Liu
Xie-Qun Xu, Tao Hong, Bing-Lu Li, Wei Liu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
Author contributions: Xu XQ and Hong T designed the report; Xu XQ, Hong T, Li BL and Liu W were the patient’s attending doctors; Xu X and Hong T performed the surgery; Xu XQ and Hong T organized the report; and Xu XQ wrote the paper; an author may have more than one contribution, and more than one author may have contributed to the same aspect.
Correspondence to: Dr. Xie-Qun Xu, Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China. xiequnxu@gmail.com
Telephone: +86-10-69152610 Fax: +86-10-69152610
Received: August 25, 2013
Revised: October 18, 2013
Accepted: October 19, 2013
Published online: December 7, 2013
Abstract

The occurrence of adult intussusception from small intestinal lymphoma is quite rare. We present an 82-year-old man with a two-month history of intermittent abdominal pain, nausea and fatigue. Clinical symptoms included moderate abdominal tenderness in the right lower abdomen. Computed tomography scan of the abdomen revealed a mass in the terminal ileum with the sign of “bowel within bowel” which was suspicious of ileo-ileum intussusception. The patient underwent laparoscopic segmental ileal resection. Pathologic evaluation revealed a diffuse large B cell non-Hodgkin’s lymphoma of the ileum. The postoperative course was uneventful.

Keywords: Adult intussusception, Lymphoma, Small intestine, Ileum

Core tip: Intussusception is a common cause of bowel obstruction in pediatric patients. Primary diffuse large B cell non-Hodgkin’s lymphoma of the small intestine is rare. Intussusception due to primary diffuse large B cell non-Hodgkin’s lymphoma in the small intestine is even rarer in adults and is often difficult to diagnose. This article describes the diagnosis and management of this rare disease.