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New Indian Journal of Surgery

Volume  2, Issue 1, January-March 2011, Pages 29-33
 

Case Report

Lymphoma - an unusual cause of Ileocolic Intussuception

Chintamani Sreenivas S. Rahul Bamal Bhatnagar D Singh G.J

Department of Surgery, VMMC & SJH, New Delhi

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Abstract

Introduction - Intussusception is defined as telescoping of one segment of the gastrointestinal tract into an adjacent one. Approximately 5%of peripheral NHL arise in ileum and mostly seen in adults. We report a case of primary NHL of ileum presenting as intussusception in a child. Case- A 14 year old boy presented with pain abdomen, vomiting and obstipation of 5 days duration. Per abdomen – tenderness and guarding in RIF with lump and hyperperistaltic bowel sounds. USG abdomen was indicative of intussusception. Emergency laparotomy revealed ileocolocolic intussusception as the cause of obstruction. Patient underwent right hemicolectomy with restoration of the bowel continuity. Histopathology revealed the mass to be a B-cell lymphoma. Conclusion - Aim of this reporting is to recognize NHL as a cause of intussusception in child and its correct management.


Corresponding Author : Chintamani