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

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Author(s): Nestorović Milica | Stanojević Goran | Brzački Vesna | Milojković Vesna | Branković Branko | Pecić Vanja | Pešić Ivan | Smiljković Igor

Journal: Srpski Arhiv za Celokupno Lekarstvo
ISSN 0370-8179

Volume: 139;
Issue: 9-10;
Start page: 673;
Date: 2011;
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Keywords: adult | colon neoplasm | extra-nodal lymphoma | ileocolic intussusception | non-Hodgkin lymphoma

ABSTRACT
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.
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