Rare Presentation of Aggressive B-Cell Lymphoma as Ileocolic Intussusception in a Young Adult: A Case Report
GUETMY Zakaria
UM5 Université Mohamed V Rabat, Morocco.
Aragon Othman
UM5 Université Mohamed V Rabat, Morocco.
KAID Mohamed Kaid *
UM5 Université Mohamed V Rabat, Morocco.
Dato Outban
UM5 Université Mohamed V Rabat, Morocco.
Othman Alaoui
UM5 Université Mohamed V Rabat, Morocco.
Moctar Noufou
UM5 Université Mohamed V Rabat, Morocco.
Yahya Khedid
UM5 Université Mohamed V Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Intussusception is defined as the telescoping of a segment of the gastrointestinal tract into an adjacent one. Adult intussusception, a rare yet critical gastrointestinal occurrence, accounts for 5% of all intussusceptions. Primary gastro-intestinal lymphoma accounts for 1–4% of all gastro-intestinal malignancies. 90% of them have B-cell non-Hodgkin lymphoma (NHL). The most prevalent lymphoma producing intussusception is diffuse large B-cell lymphoma.
We report a case of a 21-year-old male with acute ileocolic intussusception who was ultimately diagnosed with aggressive B-cell lymphoma. Computed tomography showed ileo-colic intussusception. A right hemicolectomy was performed, with ileotransverse anastomosis was done with post-operative chemotherapy.
This case illustrates the rare occurrence of intussusception secondary to lymphoma in adults. We emphasize the importance of including diffuse large B-cell lymphoma in the differential diagnosis of adult ileocolic intussusception to ensure accurate diagnosis and appropriate management.
Keywords: Ileocolic intussusception, large B-cell lymphoma, primary gastro-intestinal lymphoma, intestinal obstruction