The telescoping or the invagination of a segment of the intestine in its adjacent part is called intussusception. This incident is highly prevalent in children, while it is uncommonly observed in adults. Among those, only about 5% of cases occur. On the other hand, about 5% of intestinal obstructions in adults are caused by intussusceptions, and in these cases, more than 50% are secondary to a neoplasm. Burkitt's lymphoma is a rare cause of intussusception. In fact, less than 20 cases have been reported in the literature in adults. In addition, Double intussusceptions due to Burkitt's lymphoma are extremely infrequent. We present the case of a 20-year-old woman who exhibited symptoms of intestinal obstruction and was diagnosed with ileal double invagination during exploration by abdominal tomography and laparotomy. The lead point pathology was found to be Burkitt's lymphoma. This case represents a rare cause of intussusception secondary to Burkitt's lymphoma. In infants, intussusception is often treated with air enema reduction, but in adults, intussusception is normally associated with a point of contact, and surgical management is required. The aim of this work is to present a case of double intussusception in adults due to Burkitt's lymphoma. This case is the second reported in the literature. This report contains interesting diagnostic images, surgical details, and sample photographs.
Marinis A, Yiallourou A, Samanides L, Dafnios N, Anastasopoulos G, Vassiliou I, et al. Intussusception ofthe bowel in adults: a review. World J Gastroenterol. 2009 Jan 28;15(4):407-11. https://doi.org/10.3748/wjg.15.407
Kasparian S, Burns E, Shehabeldin A, Awar M, Pingali SR. Recurrent small bowel obstruction caused by Burkitt lymphoma in an elderly man: a case report and review of the literature. J Med Case Rep. 2020 Aug 12; 14(1):127. https://doi.org/10.1186/s13256-020-02449-y
Sharma P, Balasingham S, Stawiarski K, Rahmani M, Costantino A, Sharma P, et al. Burkitt lymphoma as a lead point for jejunojejunal intussusception in a human immunodeficiency virus patient. Clin J Gastroenterol. 2017 Aug;10(4):342-350. https://doi.org/10.1007/s12328-017-0747-y
Kulendran K, Choy KT, Keogh C, Ratnapala D. An Exceptional Case of Ileocolic Intussusception Secondary to Burkitt's Lymphoma: What Variations Are There in the Presentation and Management of Those Patients Who Approach Adolescence? Case Rep Surg. 2018 Jun 20;2018:6251321. https://doi.org/10.1155/2018/6251321
Y Yagmur, S Gumus. Burkitt's lymphoma causing intussusception in adults: report of two cases and review of the literature. J GHR. 2015 July 21; 4(7): 1702-1706. [Accessed 2022 Feb 03]. Available from: http://www.ghrnet.org/index.php/joghr/article/view/1305/1429
El Hage Chehade HH, Abtar HK, Seblini MI. Simultaneous double ileoileal intussusception due to Burkitt’s lymphoma in a young male. J Surg Case Rep. 2013 May 9;2013(5):rjt031. https://doi.org/10.1093/jscr/rjt031
Anzidei M, Napoli A, Zini C, Kirchin MA, Catalano C, Passariello R. Ma¬lignant tumours of the small intestine: a review of histopathology, mul¬tidetector CT and MRI aspects. Br J Radiol. 2011 Aug;84(1004):677-90. https://doi.org/10.1259/bjr/20673379
Collins J, Katon R, Harty-Golder B. Burkitt’s Lymphoma Present¬ing with Gastrodoudenal Involvement Endoscopic Description and Review of the Literature. Gastroenterology 1983; 85(2): 425-9.
Xu XQ, Hong T, Li BL, Liu W. Ileo-ileal intussusceptions caused by diffuse large B-cell lymphoma of the ileum. World J Gastroenterol. 2013 Dec 7;19(45):8449-52. https://doi.org/10.3748/wjg.v19.i45.8449
Özant A, Arslan K, Özçay N, Besim H. Adult multicentric burkitt lymphoma with bowel obstruction due to intussusception. Turk J Gastroenterol. 2018 May;29(3):361-364. https://doi.org/10.5152/tjg.2018.17743
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 Younes Aggouri; Aymane Jbilou, Yassine Mohamed , Badr Tarif, Said Ait laalim