Korean J Gastrointest Endosc.  1999 Aug;19(4):650-656.

Two Cases of Malignant Lymphomas in the Terminal Ileum Causing Intussusception: Diagnosis and Reduction of Intussusception by Colonoscopy

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.

Abstract

Most intussusceptions occur in children under 1 year of age whereas 5%~10% occurs in adults. Although intussusception has an acute occurrence in children, symptoms in adults may be subacute or chronic, and the diagnosis is often delayed. In contrast to adults, intussusception in children is the most common cause of intestinal obstruction, and one of the most frequent causes of surgical emergencies. While idiopathic cases account for more than 90% of those seen in children, many cases in adults are generally related to neoplasm. However, intussusception due to a primary malignant lymphoma of the small intestine is a rare clinical condition. There is little information on the role of colonoscopy in colonic intussusception. Two cases are herein reported, of malignant lymphoma in the ileocecal region causing intussusceptions in which the diagnosis and reduction of intussusception were made by colonoscopy. Colonoscopy plays a useful role in the diagnosis and management of intussusception. The clinical, radiographic, endoscopic, and pathologic findings are described with brief reviews of related literature.

Keyword

Lymphoma; Terminal ileum; Intussusception; Colonoscopy
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