Case Report

Volume: 4 | Issue: 12 | Published: Dec 18, 2020 | Pages: 445 - 448 | DOI: 10.24911/ejmcr/173-1598794282

A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon


Authors: Ravindran Chirukandath , Agil Babu , Ayana Manjookaran Dev , Rajendran Manjookaran Gokul Vijay , Lakshmi Radhakrishnan , Sreelekha Padinjekara Sreedharan


Article Info

Authors

Ravindran Chirukandath

Additional Professor General Surgery, Govt. Medical College, Thrissur, India

Agil Babu

Junior Resident, Government Medical College, Thrissur, India

Ayana Manjookaran Dev

Junior Resident, Government Medical College, Thrissur, India

Rajendran Manjookaran Gokul Vijay

Junior Resident, Government Medical College, Thrissur, India

Lakshmi Radhakrishnan

Senior Resident, Department of surgery, Govt. Medical College, Thrissur, India

Sreelekha Padinjekara Sreedharan

Resident Intern Department of Surgery Medical college Thrissur, India

Publication History

Received: September 01, 2020

Revised: October 24, 2020

Accepted: October 24, 2020

Published: December 18, 2020


Abstract


Background: Intussusception in adults is distinct from pediatric intussusception in many aspects. In contrast to intussusceptions in children, a demonstrable etiology is found in 70%-95% of the cases in the adult population, and approximately 40% of them are caused by primary or secondary malignant neoplasms. But lymphomas, as a cause of lead point in adult intussusception, are extremely rare and only less than 50 cases have been reported in the literature. Case Presentation: We are reporting a 44-year-old male who presented with a right iliac fossa mass and clinical features of intussusception and who was operated upon. Per-operative findings were consistent with ileocecal intussusception and a radical right hemicolectomy was conducted. Histopathological examination revealed it as a case of Diffuse Large B Cell Lymphoma presenting as the lead point. This case is discussed because of the rarity of the disease and possible cure if diagnosed early and treated aggressively. Conclusion: Ileocolic intussusception is adults is usually caused by malignancy and mostly as adenocarcinoma. Non-Hodgkin lymphoma as a lead point is extremely rare and is usually a histologic surprise. However, a radical en mass resection without reduction is ideal in all forms of adult colocolic and ileocolic intussusception.

Keywords: Ileocolic, intussusception, diffuse large B cell lymphoma (DLBCL), green


Pubmed Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. 2020; 18 (December 2020): 445-448. doi:10.24911/ejmcr/173-1598794282

Web Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. https://ejmcr.com/articles/1368 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1598794282

AMA (American Medical Association) Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. 2020; 18 (December 2020): 445-448. doi:10.24911/ejmcr/173-1598794282

Vancouver/ICMJE Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR. (2020), [cited December 25, 2024]; 18 (December 2020): 445-448. doi:10.24911/ejmcr/173-1598794282

Harvard Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan (2020) A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. EJMCR, 18 (December 2020): 445-448. doi:10.24911/ejmcr/173-1598794282

Chicago Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. "A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon." 18 (2020), 445-448. doi:10.24911/ejmcr/173-1598794282

MLA (The Modern Language Association) Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan. "A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon." 18.December 2020 (2020), 445-448. Print. doi:10.24911/ejmcr/173-1598794282

APA (American Psychological Association) Style

Ravindran Chirukandath, Agil Babu, Ayana Manjookaran Dev, Rajendran Manjookaran Gokul Vijay, Lakshmi Radhakrishnan, Sreelekha Padinjekara Sreedharan (2020) A histologic surprise in case of an Ileocolic intussusception in adult - diffuse large B cell lymphoma colon. , 18 (December 2020), 445-448. doi:10.24911/ejmcr/173-1598794282