Abstract
Pancreatitis and sinusitis as presentations of Burkitt lymphoma are uncommon and rarely described in children. We describe here the case of a child who presented with symptoms suggestive of sinusitis unresponsive to antibiotics, with subsequent development of abdominal symptoms due to pancreatitis. He was eventually diagnosed with Burkitt lymphoma.
Highlights
Burkitt lymphoma is a highly aggressive B-cell non-Hodgkin lymphoma
We describe the case of an 8-year-old male who presented with symptoms suggestive of sinusitis and abdominal symptoms suggestive of pancreatitis
PET scan could be done only after three weeks of initiation of chemotherapy which was negative for any metastasis except for inflammatory postsurgical changes. He had resolution of clinical symptoms after the first cycle of chemotherapy and a repeat MRI showed a significant reduction in the size of the nasopharyngeal mass. This implied that the adenoid enlargement is most likely due to Burkitt lymphoma since there was a remarkable improvement of symptoms immediately after the start of chemotherapy
Summary
Burkitt lymphoma is a highly aggressive B-cell non-Hodgkin lymphoma. The sporadic form commonly affects the ileocecal region of the bowel and presents as an abdominal mass. Involvement of the pancreas is rare and few cases have been reported in children. Burkitt lymphoma of the head and neck primarily presents as lymphadenopathy but presentation as sinusitis is uncommon. We describe the case of an 8-year-old male who presented with symptoms suggestive of sinusitis and abdominal symptoms suggestive of pancreatitis. On further imaging, he was found to have nasopharyngeal and abdominal masses due to Burkitt lymphoma
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