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Burkitt lymphoma as a lead point for jejunojejunal intussusception in a human immunodeficiency virus patient

Authors :
Kristin Stawiarski
Prabin Sharma
Antonio Costantino
Amir Masoud
Shivashanker Balasingham
Mina L. Xu
Mahboubeh Rahmani
Pranav Sharma
Source :
Clinical journal of gastroenterology. 10(4)
Publication Year :
2017

Abstract

Intussusception is commonly seen in children but is rare in adults and represents only 5% of all intussusceptions causing 1% of intestinal obstructions. More than 50% of these intussusceptions in adults are due to intestinal neoplasms, including malignant lymphoma, e.g., Burkitt lymphoma. These lymphomas are more common in human immunodeficiency virus (HIV)-positive patients than in the general population. We present a case of a young male who was diagnosed with HIV when he developed intestinal obstruction and intussusception secondary to Burkitt lymphoma. He was managed with surgical resection followed by chemotherapy and antiretroviral treatment. HIV patients presenting with acute abdomen pose a diagnostic challenge to clinicians due to a wide range of differential diagnoses including inflammatory, infectious and neoplastic conditions. In a young HIV patient presenting with acute abdomen, intussusception caused by Burkitt lymphoma should be considered in the differential.

Details

ISSN :
18657265
Volume :
10
Issue :
4
Database :
OpenAIRE
Journal :
Clinical journal of gastroenterology
Accession number :
edsair.doi.dedup.....63267c3bd7f438c0aff69cc17b624b17