doiSerbia

Ileocolic intussusception as a presenting sign of primary lymphoma of the colon

Nestorović Milica (Klinika za opštu hirurgiju, Klinički centar, Niš)
Stanojević Goran (Klinika za opštu hirurgiju, Klinički centar, Niš)
Brzački Vesna (Klinika za gastroenterologiju i hepatologiju, Klinički centar, Niš)
Milojković Vesna (Centar za radiologiju, Klinički centar, Niš)
Branković Branko (Klinika za opštu hirurgiju, Klinički centar, Niš)
Pecić Vanja (Klinika za opštu hirurgiju, Klinički centar, Niš)
Pešić Ivan (Klinika za opštu hirurgiju, Klinički centar, Niš)
Smiljković Igor (Klinika za vaskularnu hirurgiju, Klinički centar, Niš)

Introduction. Intussusception is a rare phenomenon in adults. It is caused mainly by malignant neoplasm. Primary lymphoma of the colon is a rare malignancy of the large intestine. The association of intussusception in adult and primary colorectal lymphoma is a diagnostic challenge, since they occur with a variety of atypical symptoms. Case Outline. We report a case of ileocolic intussusception in a 26-year-old man induced by primary lymphoma of the cecum. He was admitted to our hospital for incomplete intestinal obstruction. After thorough diagnostic work-up (plain abdominal radiography, abdominal ultrasonography, multi-slice computerized tomography, colonoscopy with biopsy), the patient underwent surgery. Intraoperative findings confirmed lymphoma as the cause of intussusception. The right hemicolectomy was carried out with end-to-side ileo-transverse anastomosis. Conclusion. Primary colorectal lymphomas should be considered in differential diagnosis of intussusceptions in adults. The treatment of choice is a radical resection where all oncological standards must be fulfilled.

Keywords: adult, colon neoplasm, extra-nodal lymphoma, ileocolic intussusception, non-Hodgkin lymphoma