Burkitt lymphoma as a lead point for jejunojejunal intussusception in a human immunodeficiency virus patient

Authors

Prabin Sharma, Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT, 06610, USA. prabin.sharma@bpthosp.org.
Shivashanker Balasingham, Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT, 06610, USA.Follow
Kristin Stawiarski, Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT, 06610, USA.
Mahboubeh Rahmani, Department of Pathology, Yale New Haven Hospital, 310 Cedar Street LH 108, New Haven, CT, 06520, USA.
Antonio Costantino, Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT, 06610, USA.
Pranav Sharma, Department of Radiology, Yale University, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT, 06610, USA.
Mina Xu, Department of Pathology, Yale New Haven Hospital, 310 Cedar Street LH 108, New Haven, CT, 06520, USA.
Amir Masoud, Section of Digestive Diseases, Yale New Haven Hospital, 40 Temple Street, Suite 1A, New Haven, CT, 06510-2715, USA.

Document Type

Article

Publication Title

Clinical journal of gastroenterology

Abstract

Intussusception is commonly seen in children but is rare in adults and represents only 5% of all intussusceptions causing 1% of intestinal obstructions. More than 50% of these intussusceptions in adults are due to intestinal neoplasms, including malignant lymphoma, e.g., Burkitt lymphoma. These lymphomas are more common in human immunodeficiency virus (HIV)-positive patients than in the general population. We present a case of a young male who was diagnosed with HIV when he developed intestinal obstruction and intussusception secondary to Burkitt lymphoma. He was managed with surgical resection followed by chemotherapy and antiretroviral treatment. HIV patients presenting with acute abdomen pose a diagnostic challenge to clinicians due to a wide range of differential diagnoses including inflammatory, infectious and neoplastic conditions. In a young HIV patient presenting with acute abdomen, intussusception caused by Burkitt lymphoma should be considered in the differential.

First Page

342

Last Page

350

DOI

10.1007/s12328-017-0747-y

Publication Date

8-1-2017

Recommended Citation

Sharma, Prabin; Balasingham, Shivashanker; Stawiarski, Kristin; Rahmani, Mahboubeh; Costantino, Antonio; Sharma, Pranav; Xu, Mina; and Masoud, Amir, "Burkitt lymphoma as a lead point for jejunojejunal intussusception in a human immunodeficiency virus patient" (2017). All Research. 243.
https://scholar.bridgeporthospital.org/all_research/243

Identifier

28523628 (pubmed); 10.1007/s12328-017-0747-y (doi); 10.1007/s12328-017-0747-y (pii)