UNUSUAL PRESENTATION OF ADULT ILEO–ILEAL INTUSUSCEPTION– A CASE REPORT OF B–CELL NHL

Aparajita Mookherjee Bhattacharyya; Abdur Rahaman; Priya Bharathi; Sahana M

Volume : V, Issue : VIII, August - 2015

UNUSUAL PRESENTATION OF ADULT ILEO–ILEAL INTUSUSCEPTION– A CASE REPORT OF B–CELL NHL

Aparajita Mookherjee Bhattacharyya, Abdur Rahaman, Priya Bharathi, Sahana M

Abstract :

The occurrence of adult intussusceptions due to small intestinal lymphoma is quite rare, hence pre–operative diagnosis often remains elusive. There are no explicit presenting symptoms except features of intestinal obstruction, hence can prove to be a surgical challenge. We present a case report of malignant lymphoma in a young 21 year adult male, causing ileo–ileal intussusception leading to intestinal obstruction. The patient underwent laparotomy with segmental ileal resection and anastamosis. Histopathology of the specimen suggested malignant lymphoma. Immunohistochemistry showed tumour cells staining positive for CD 20, BCl–2 and Ki–67 and negative for TdT and CD 10, concurrent with high grade B–cell NHL of intestine.