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Karim Ibn Majdoub Hassani, Hicham El bouhaddouti, Abdelmalek Ousadden, Amal Ankouz, Meryem Boubou, Siham Tizniti, Khalid Mazaz, Khalid Ait Taleb. Non-Hodgkin´s lymphoma revealed by an ilio-colic intussusception in a Moroccan patient: a case report. The Pan African Medical Journal. 2010;4:11 Key words: Intussusception, non-Hodgkin lymphoma, computed tomography, surgery, Morocco Permanent link: http://www.panafrican-med-journal.com/content/article/4/11/full Received: 25/12/2009 - Accepted: 22/02/2010 - Published: 13/03/2010 © Karim Ibn Majdoub Hassani et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Non-Hodgkin’s lymphoma revealed by an ilio-colic intussusception in a Moroccan patient: a case report
Karim Ibn Majdoub Hassani1,&, Hicham El bouhaddouti2, Abdelmalek Ousadden2, Amal Ankouz2, Meryem Boubou3, Siham Tizniti3, Khalid Mazaz1, Khalid Ait Taleb2
1Department of general surgery (B), University hospital Hassan II, Fes, Morocco, 2Department of general surgery (A). University hospital Hassan II. Fes, Morocco, 3Department of Radiology, Universitet hospital Hassan II, Fes, Morocco
&Corresponding author
Ibn Majdoub Hassani Karim, 16, Rue Dominique, AV abi horayra, Zohor I, 30000, Fez, Morrocco. Tel: 00212665600722.
Abstract
Intussusceptions are rare but well-known causes of the small bowel obstruction in adults and an underlying cause is present in the majority of cases. Lymphoma’s involvement of the ileum is one of the rare causes of intussusception. CT is a sensitive examination that diagnoses intussusceptions and provides an excellent pre-operative evaluation including possible extension and dissemination especially in intestinal lymphomas. The treatment is almost always surgical and the pathological study is needed for diagnostic confirmation.
Authors present an unusual case of intestinal intussusception due to lymphoma of the terminal part of the ileum in a 49-year-old man. Computed tomography confirmed the diagnosis of intussusception and non-Hodgkin’s lymphoma of B-cell was diagnosed by histological examination after surgical treatment.
Primary intestinal lymphomas differ from gastric lymphomas in clinical features, treatment, and prognosis. They are not well characterized and the standardized concepts for their clinical diagnosis and management are absent. The aim of this rare observation is to shed light on NHL of the small bowel, its clinical and radiological diagnosis and its treatment especially in forms revealed by intussusceptions in adults.
