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      Ileocolic intussusception due to Burkitt lymphoma: a case report

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          Abstract

          Burkitt lymphoma has many forms of clinical presentations and, in children, it is usually discovered due to the presence of an abdominal mass. This rapidly growing tumor is highly malignant, aggressive, and may cause either indirect symptoms, due to pressure phenomena or direct involvement of the bowel lumen, leading to either intestinal obstruction or intussusception.

          We describe the case of a 4-year-old girl who exhibited an unusual presentation of ileocolic intussusception on a Burkitt lymphoma lesion of the ileum.

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          Clinical implications and surgical management of intussusception in pediatric patients with Burkitt lymphoma.

          Himesh Gupta, Andrew Davidoff, Ching-Hon Pui … (2007)
          Intussusception as a presenting feature of Burkitt lymphoma may be associated with early stage disease, which is curable with less intensive therapy. We determined the incidence, presentation, stage, and outcome of children with Burkitt lymphoma presenting with intussusception. The medical records of patients with Burkitt lymphoma treated at our hospital from 1962 to 2005 were reviewed, and the patients presenting with intussusception were then further analyzed. Of 189 patients with primary abdominal Burkitt lymphoma, 33 (17.5%) presented with intussusception. Their median age at diagnosis was 10 years (range, 3-19 years). Most patients presented with abdominal pain (88%) and/or nausea/vomiting (42%). Twenty-three (70%) of these 33 patients as compared with 10 of the other 156 patients with abdominal lymphoma could have complete resection of their tumor (P < .0001) and hence had low stage disease (stage II). Only 10 patients with intussusception had stage III (n = 7) or stage IV (n = 3) unresectable disease. Twenty-five of the patients remained alive in continuous complete remission for 3 months to 31 years (median, 14 years). Pediatric patients with Burkitt lymphoma presenting with intussusception often have completely resectable disease and are older than general pediatric patients with intussusception.
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            Burkitt's lymphoma: new insights into molecular pathogenesis.

            Riccardo A. Paoli, Antonio Giordano, Lorenzo Leoncini … (2003)
            The World Health Organisation classification reports three subcategories of Burkitt's lymphoma (BL)--endemic, non-endemic, and immunodeficiency associated--proposed to reflect the major clinical and genetic subtypes of this disease. These different types of BL have been reviewed and studied by immunohistochemistry and molecular methods. The results point out the heterogeneity of BL and suggest that AIDS related BL may have a different pathogenesis from that of classic BL.
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              Ileocecal Burkitt's lymphoma presenting as ileocolic intussusception with appendiceal invagination and acute appendicitis.

              Sheng-Mine Wang, Fu-Chen Huang, Chi-Hung Wu … (2010)
              Intussusception is a common cause of abdominal pain in children. Although most cases are idiopathic, about 10% of cases have a pathologic lead point. Burkitt's lymphoma is not a common etiology. Burkitt's lymphoma might present primarily as intussusception in children but has rarely been associated with appendicitis. We report a case in which a 10-year-old obese boy who initially presented with acute appendicitis due to ileocolic intussusception with appendiceal invagination. He underwent one-trocar laparoscopy and antibiotic treatment. The symptoms recurred 10 days after discharge. Colonoscopy disclosed ileocecal Burkitt's lymphoma as the pathological lead point. This case emphasizes the importance of the age of the patient and the anatomic location of the intussusception related to possible etiology, and hence the most appropriate surgical procedure. Copyright (c) 2010 Formosan Medical Association & Elsevier. Published by Elsevier B.V. All rights reserved.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Med Life
                Journal ID (iso-abbrev): J Med Life
                Journal ID (publisher-id): JMedLife
                Title: Journal of Medicine and Life
                Publisher: Carol Davila University Press (Romania )
                ISSN (Print): 1844-122X
                ISSN (Electronic): 1844-3117
                Publication date (Print): 15 March 2013
                Publication date (Electronic): 25 March 2013
                Volume: 6
                Issue: 1
                Pages: 61-64
                Affiliations
                [ ]Department of Paediatric Surgery, “Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania “Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
                Author notes
                Correspondence to:: Laura Topor, MD, PhD Department of Paediatric Surgery, “Grigore Alexandrescu" Clinical Emergency Hospital for Children, Bucharest, Romania 4 Vaporul lui Assan Street, Bucharest, Romania Phone: +40722.984.237, E-mail: lauratopor@yahoo.com
                Article
                Publisher ID: JMedLife-06-61
                PMC ID: 3624648
                PubMed ID: 23599821
                SO-VID: 95e208de-2eb0-46a5-96b9-d562753519fb
                Copyright © ©Carol Davila University Press
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 19 September 2012
                Date accepted : 30 January 2013
                Categories
                Subject: Case Presentation

                ScienceOpen disciplines: Medicine
                Keywords: ileocolic intussusception,burkitt lymphoma,ileal tumor,termino-terminal anastomosis
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: ileocolic intussusception, burkitt lymphoma, ileal tumor, termino-terminal anastomosis

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