Ileocolic Intussusception in Adult Due to Malignant Lymphoma in the Cecum with Intramural Metastasis

Overview

Journal J Gastroenterol

Specialty Gastroenterology

Date 1996 Aug 1

PMID 8844487

Citations 3

Authors

N Takiguchi

H Sarashina

N Saitoh

M Nunomura

K Kouda

K Ozaki

N Nakajima

T Fujihira

A Mikata

Affiliations

Soon will be listed here.

Abstract

A rare adult case of intussusception caused by malignant lymphoma of the cecum with intramural metastasis is reported. The patient was a 24-year-old man. Ileocolic intussusception was diagnosed by characteristic findings on abdominal computed tomography. Endoscopic examination revealed a massive protuberant tumor, 3 cm in diameter, and a semipedunculated polyp, 1 cm in diameter, in the cecum, which had caused the ileocolic intussusception. Endoscopic biopsy specimens failed to yield a definitive diagnosis histologically, but right hemicolectomy with lymph node dissection was performed. On histologic examination of the surgical specimens, both the tumor and the polyp were diagnosed as diffuse lymphoma of medium-sized cell type, and no lymph node involvement was found. The patient responded well to surgical and chemotherapeutic treatment, and has had no recurrence of malignant lymphoma in the 2 years since the surgical treatment. This was a very rare case of an intussusception in an adult patient due to malignant lymphoma in the cecum with intramural metastasis and without lymph node involvement.

Citing Articles

Malignant Lymphoma of the Ileum Presenting as Ileocecal Intussusception.

Mancini A, Mougin N, Arvieux C J Gastrointest Surg. 2017; 22(5):923-924.

PMID: 29119526 DOI: 10.1007/s11605-017-3631-7.

Rare Case of Cecal Signet Ring Cell Carcinoma with Distal Intramural Spread.

Ono K, Murakami M, Watanabe M, Fujimori A, Otsuka K, Aoki T In Vivo. 2017; 31(4):705-708.

PMID: 28652443 PMC: 5566926. DOI: 10.21873/invivo.11117.

Telescoping intestine in an adult.

Shaheen K, Eisa N, Alraiyes A, Alraies M, Merugu S Case Rep Med. 2013; 2013:292961.

PMID: 23983706 PMC: 3741913. DOI: 10.1155/2013/292961.

References

JINNAI D, Iwasa Z, Watanuki T . Malignant lymphoma of the large intestine--operative results in Japan. Jpn J Surg. 1983; 13(4):331-6. DOI: 10.1007/BF02469515. View

Norton A, Isaacson P . Monoclonal antibody L26: an antibody that is reactive with normal and neoplastic B lymphocytes in routinely fixed and paraffin wax embedded tissues. J Clin Pathol. 1987; 40(12):1405-12. PMC: 1141274. DOI: 10.1136/jcp.40.12.1405. View

Shepherd N, Hall P, Coates P, Levison D . Primary malignant lymphoma of the colon and rectum. A histopathological and immunohistochemical analysis of 45 cases with clinicopathological correlations. Histopathology. 1988; 12(3):235-52. DOI: 10.1111/j.1365-2559.1988.tb01939.x. View

Curcio C, Feinstein R, Humphrey R, Jones B, Siegelman S . Computed tomography of entero-enteric intussusception. J Comput Assist Tomogr. 1982; 6(5):969-74. DOI: 10.1097/00004728-198210000-00018. View

FLEMING I, Mitchell S, Dilawari R . The role of surgery in the management of gastric lymphoma. Cancer. 1982; 49(6):1135-41. DOI: 10.1002/1097-0142(19820315)49:6<1135::aid-cncr2820490612>3.0.co;2-e. View

Gaa J, Deininger H . [Computed tomographic diagnosis of an ileocolic invagination in an adult]. Radiologe. 1989; 29(8):382-5. View

Ishii Y, Takami T, Yuasa H, Takei T, Kikuchi K . Two distinct antigen systems in human B lymphocytes: identification of cell surface and intracellular antigens using monoclonal antibodies. Clin Exp Immunol. 1984; 58(1):183-92. PMC: 1576979. View

Triozzi P, Borowitz M, Gockerman J . Gastrointestinal involvement and multiple lymphomatous polyposis in mantle-zone lymphoma. J Clin Oncol. 1986; 4(6):866-73. DOI: 10.1200/JCO.1986.4.6.866. View

Parienty R, Lepreux J, Gruson B . Sonographic and CT features of ileocolic intussusception. AJR Am J Roentgenol. 1981; 136(3):608-10. DOI: 10.2214/ajr.136.3.608. View

10.

Ohta H, Komibuchi T, Ohta Y, Shizuki K . Gallium-67 scintigraphy in an adult intussusception caused by malignant lymphoma. Ann Nucl Med. 1993; 7(3):179-81. DOI: 10.1007/BF03164963. View

11.

Jalleh R, Semeraro D, Vellacott K . Cecocolic intussusception in multiple lymphomatous polyposis of the gastrointestinal tract. Report of a case. Dis Colon Rectum. 1990; 33(5):424-6. DOI: 10.1007/BF02156271. View

12.

Contreary K, NANCE F, BECKER W . Primary lymphoma of the gastrointestinal tract. Ann Surg. 1980; 191(5):593-8. PMC: 1344744. DOI: 10.1097/00000658-198005000-00011. View

13.

Donhauser J, Kelly E . Intussusception in the adult. Am J Surg. 1950; 79(5):673-7. DOI: 10.1016/0002-9610(50)90333-3. View

14.

Herrmann R, Panahon A, Barcos M, Walsh D, Stutzman L . Gastrointestinal involvement in non-Hodgkin's lymphoma. Cancer. 1980; 46(1):215-22. DOI: 10.1002/1097-0142(19800701)46:1<215::aid-cncr2820460136>3.0.co;2-6. View

15.

Felix E, Cohen M, Bernstein A, Schwartz J . Adult intussusception; case report of recurrent intussusception and review of the literature. Am J Surg. 1976; 131(6):758-61. DOI: 10.1016/0002-9610(76)90196-3. View

16.

Agha F . Intussusception in adults. AJR Am J Roentgenol. 1986; 146(3):527-31. DOI: 10.2214/ajr.146.3.527. View

17.

Lewin K, Ranchod M, DORFMAN R . Lymphomas of the gastrointestinal tract: a study of 117 cases presenting with gastrointestinal disease. Cancer. 1978; 42(2):693-707. DOI: 10.1002/1097-0142(197808)42:2<693::aid-cncr2820420241>3.0.co;2-j. View

18.

Matsushita M, HAJIRO K, Kajiyama T, Ohana M, Konishi Y, Kusumi F . Malignant lymphoma in the ileocecal region causing intussusception. J Gastroenterol. 1994; 29(2):203-7. DOI: 10.1007/BF02358684. View

19.

DAWSON I, Cornes J, MORSON B . Primary malignant lymphoid tumours of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg. 1961; 49:80-9. DOI: 10.1002/bjs.18004921319. View