Abstract
In children, non-Hodgkin’s lymphoma has been found to be the lead point in intussusception involving the terminal ileum. We present here two cases of ileal primary non-Hodgkin’s lymphoma which presented as intussusception, highlighting the differing presentations of these children and their outcome, with a brief review of the literature.
Highlights
Intussusception is a pathology in which telescoping of a proximal segment of bowel occurs into lumen of the distal segment
We present here two cases of ileal primary non-Hodgkin’s lymphoma which presented as intussusception, highlighting the differing presentations of these children and their outcome, with a brief review of the literature
A specific lead point is more commonly found in children older than 3 years [4]
Summary
Intussusception is a pathology in which telescoping of a proximal segment of bowel occurs into lumen of the distal segment. USG abdomen revealed bowel intussusception at the right lumbar region, extending to the epigastrium, along with mesenteric lymphadenopathy. USG abdomen showed target sign at the right lumbar region extending to the epigastrium, suggestive of intussusception alongwith enlarged mesenteric lymph nodes. The total leucocyte counts continued to be high, the peripheral blood smear no other features than leukocytosis, he had persistent abdominal distension, and he was found to develop anastomotic leak on the 6th postoperative day. He expired on the 8th postoperative day due to sepsis. Histopathological examination of the nodules in the resected bowel revealed features of diffuse large B-cell Non Hodgkin’s lymphoma along with congested, edematous mucosa and gangrenous changes. Due to early death of the patient, staging could not be properly done, but the child was considered to be suffering from primary ileal Non Hodgkin’s lymphoma, which was locally disseminated, supported by absence of peripheral lymphadenopathy, normal peripheral blood picture, and normal chest radiograph
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