Case Report

Ileocolic Intususception due to Non Hodgkin’s Lymphoma –A Rare Presentation in Adults

Narayanarao Teppela, Suvarchala Akkidas, Parvathi Teppela and Srinivas Abburi
World Journal of Medical and Surgical Case Reports 2013, 2:24

Abstract

Introduction

The first report of intussusception was made in 1674 by Barbette of Amsterdam. In1871 Sir Jonathan Hutchinson was the first to successfully operate on a child with intussusception. Overall the male-to-female ratio is approximately 3:1.The pathogenesis of idiopathic intussusception is not well established. It is believed to be secondary to an imbalance in the longitudinal forces along the intestinal wall. In enteroenteral intussusception this imbalance can be caused by a mass acting as a lead point or by a disorganized pattern of peristalsis (eg, an ileus in the postoperative period). In approximately 2-12% of children with intussusception a surgical lead point is found. Occurrence of surgical lead points increases with age and indicates that the probability of non operative reduction is highly unlikely. Adult intussusception represents 5% of all intussusceptions and 1% to 5% of all cases of intestinal obstruction in adults. In the adult population approximately 40% of them are caused by primary or secondary malignant neoplasms.

Case Presentation

A 30 years female patient brought to the hospital with pain abdomen since one week. Ultrasound abdomen suggestive of ileo-caecal intussusception. CECT abdomen done which shows ileo-caecal intussusception Laparoscopic assisted reduction of intussueption and resection of ileum-end to end anastomosis done along with appendicectomy . Tumor shows features of Non-hodgkins lymphoma-follicular variant.

Conclusions

Adult intussusception remains a rare cause of persistent or intermittent chronic abdominal pain. In contrast to its paediatric counterpart the treatment almost always is surgical.

Key Words

Intussusception, Lymphoma, Laparoscopy.

Download PDF    Full Text