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J Korean Med Sci.  2016 Feb;31(2):321-325. 10.3346/jkms.2016.31.2.321.

Chronic Intussusception Caused by Diffuse Large B-Cell Lymphoma in a 6-Year-Old Girl Presenting with Abdominal Pain and Constipation for 2 Months

Affiliations
  • 1Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea. chsh0414@khu.ac.kr
  • 2Department of Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
  • 3Department of Pathology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.

Abstract

The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibrous adhesion was treated by resection and ileocolic anastomosis. It was diagnosed as intussusception with diffuse large B-cell lymphoma. A high index of suspicion for abdominal pain in children should result in the correct diagnosis and appropriate management.

Keyword

Intussusception; Chronic; Abdominal Pain; Child

MeSH Terms

Abdominal Pain/*etiology/ultrasonography
Child
Constipation/*etiology
Diagnosis, Differential
Female
Humans
Intussusception/diagnosis/*etiology/surgery
Lymphoma, Large B-Cell, Diffuse/*complications/*diagnosis
Tomography, X-Ray Computed
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