The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(3):315-320.
증례 : 장중첩증을 유발한 맹장의 원발성 림프종 2예
박인호 . 노지호 . 유정화 . 최준혁 . 임동혁 . 기승석 . 조영규, , , , , ,
Two cases of cecal lymphoma causing intussusception
In Ho Park, Jee Ho Roh, Jeong Hwa Yu, Joon Hyuk Choi, Dong Hyuk Lim, Seung Seug Ki, Young Kyu Cho
경희대학교 의과대학 순환기내과학교실


Abstract
Adult intusussception is a rare entity and this usually has a definable cause. We describe here two cases of adult patients with ileocolic intussusception that was secondary to a lymphoma of the cecum. The one patient was a 23-year-old man. We diagnosed ileocolic intussusception by performing abdominal computed tomography. At laparotomy, a 5.0×5.0 cm polypoid tumor was found in the cecum. Histologic examination disclosed the diffuse large B-cell lymphoma. The other patient was a 32-year-old man. Preoperatively, we diagnosed intussusception in the ileocolic lesion by performing a barium study and computed tomography. At laparotomy, a 3.1×4.0 cm tumor was found in cecum, and histologic examination revealed the diffuse small noncleaved type lymphoma (Burkitt’s lymphoma). So far as we are aware, this is the first report of a Korean adult patient with intussusception that was secondary to a cecal lymphoma, and it was not secondary to an ileal lymphoma. (Korean J Med 74:315-320, 2008)

Keywords :Lymphoma, Cecum, Intussusception
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