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Burkitt´s lymphoma of the caecum as a rare cause of acute abdomen: a case report


Authors: Dušan Klos ;  J. Halama;  J. Chudáček;  Č. Neoral
Authors place of work: I. chirurgická klinika FN Olomouc, přednosta: doc. MUDr. Čestmír Neoral, CSc.
Published in the journal: Rozhl. Chir., 2012, roč. 91, č. 2, s. 90-92.
Category: Case Report

Summary

Burkitt´s lymphoma is a highly aggressive B-lymphoproliferative disorder. Clinically it most often manifests with extranodal involvement, typically affecting the gastrointestinal tract as a large and rapidly proliferating tumor mass, which may present as acute abdomen. We present a case report of a young man admitted with signs of acute appendicitis. A tumor of the ileocaecal junction was discovered perioperatively and resolved by a right-sided hemicolectomy. Histological examination of the tumor confirmed Burkitt´s lymphoma. On the ninth postoperative day, the patient developed signs of ileus and a follow-up CT scan showed tumor masses in the area of the ileotransversoanastomosis. He was transferred to undergo radical adjuvant chemotherapy. Intestinal passage was restored during the next two days. Our aim is to report on the limited role of surgical treatment in this type of malignancy, due to the extremely rapid proliferation of the tumor tissue, when the tumor can grow back to its original size over a period of a few hours or days.

Key words:
lymphoma – acute abdomen – ileus


Zdroje

1. Kelly GL, Rickinson AB. Burkitt lymphoma: revisiting the pathogenesis of a virus-associated malignancy. Haematol 2007;2007:277–284.

2. Cogliatti SB, Novak U, Henz S, et al. Diagnosis of Burkitt lymphoma in due time: a practical approach. Br J Haematol 2006;134:294–301.

3. Smardova L, Vasova I, Navratil M, et al. Burkittęs lymphoma: pathophysiology, diagnostics and treatment. Transfuze Hematol. Dnes 2008;3:131–139.

4. Yustein JT, Dang V. Biology and treatment of Burkittęs lymphoma. Curr Opin Hematol 2007;14:375–381.

Štítky
Surgery Orthopaedics Trauma surgery
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