[Distal Ileal Lymphoma Presenting Ileocecal Intussusception with Spontaneous Reduction]

Korean J Gastroenterol. 2019 Nov 25;74(5):291-294. doi: 10.4166/kjg.2019.74.5.291.
[Article in Korean]

Abstract

Intussusception is a rare disease in adults. A demonstrable etiology is found in approximately 85% of all cases, and approximately 40% of them are caused by malignant tumors. A 65-year-old patient visited the outpatient department with mild abdominal pain without other symptoms. The initial laboratory test and simple X-ray showed normal findings. CT revealed intussusception in the ileocecal area. The initial colonoscopic biopsy revealed atypical cells. Follow up colonoscopy showed spontaneous reduction of the intussusception. Diffuse large B-cell lymphoma was suspected in the second colonoscopic biopsy. An elective operation was performed. This case reports a case of a spontaneous reduction of adult intussusception with a brief review of literature.

Keywords: Colonoscopy; Immunoproliferative small intestinal disease; Intussusception.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Colonoscopy
  • Diagnosis, Differential
  • Elective Surgical Procedures
  • Humans
  • Ileal Diseases / complications
  • Ileal Diseases / diagnosis*
  • Intussusception / complications
  • Intussusception / diagnosis*
  • Lymphoma, Large B-Cell, Diffuse / complications
  • Lymphoma, Large B-Cell, Diffuse / diagnosis*
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Male
  • Remission, Spontaneous
  • Tomography, X-Ray Computed