Korean J Gastroenterol.  2019 Nov;74(5):291-294. 10.4166/kjg.2019.74.5.291.

Distal Ileal Lymphoma Presenting Ileocecal Intussusception with Spontaneous Reduction

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Dong-A University Hospital, Busan, Korea. jh2002@dau.ac.kr
  • 2Department of Pathology, Dong-A University Hospital, Busan, Korea.

Abstract

Intussusception is a rare disease in adults. A demonstrable etiology is found in approximately 85% of all cases, and approximately 40% of them are caused by malignant tumors. A 65-year-old patient visited the outpatient department with mild abdominal pain without other symptoms. The initial laboratory test and simple X-ray showed normal findings. CT revealed intussusception in the ileocecal area. The initial colonoscopic biopsy revealed atypical cells. Follow up colonoscopy showed spontaneous reduction of the intussusception. Diffuse large B-cell lymphoma was suspected in the second colonoscopic biopsy. An elective operation was performed. This case reports a case of a spontaneous reduction of adult intussusception with a brief review of literature.

Keyword

Immunoproliferative small intestinal disease; Intussusception; Colonoscopy
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