%0 Journal Article
%T Burkitt Lymphoma Presenting as Ileocolic Intussusception in an Adult
%A Carla Isabel Borr¨¦
%A Bethany Boyle
%A Kelsey Lynch
%A Anuradha Kanaparthi
%A Clifford Michael Csizmar
%A Daniel Philip Larson
%A Matthew Dain Braithwaite
%A Isla McKerrow Johnson
%A Thomas Elmer Witzig
%A Diego Armando Suarez
%J Open Journal of Blood Diseases
%P 121-132
%@ 2164-3199
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojbd.2023.134014
%X Adult
intussusception is rare, highly associated with a malignant lead point, and
often requires emergent surgical management. We report the case of a
44-year-old male who presented with generalized abdominal pain and was found to
have early ileocolic intussusception secondary to a large ileocecal mass.
Biopsies of the mass and</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">an
enlarged cardiophrenic lymph node, as well as pleural fluid cytology were all
consistent with Burkitt lymphoma (BL). Curiously, the patient¡¯s abdominal exam
was reassuring, and the intussusception and malignant bowel obstruction
resolved over 36 hours with conservative management alone. With a Burkitt
lymphoma international prognostic index <span>(BL-IPI)
score of 2, the patient proceeded to treatment with</span></span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">combination chemoimmunotherapy and attained a complete response after
four cycles. There was no bowel perforation or recurrent intussusception
throughout treatment. Thus, this report marks the first reported case of a</span><span style=\"font-family:&quot;\">dult BL-associated intussusception to resolve with non-invasive
management</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">and
establishes a precedent for conservative management in select patients.
%K Burkitt Lymphoma
%K Adult Intussusception
%K Prognostication
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129670