Year 2022 / Volume 114 / Number 11
Letter
Intestinal occlusion due to Burkitt lymphoma: an unusual cause

692

DOI: 10.17235/reed.2022.8765/2022

Olivia Sierra Gabarda, Nerea Aguirre Portu, Diego Casas Deza, Luis Javier Lamuela Calvo, Elena Betoré Glaría, Belén Julián Gomara, Emilio Ignacio Abecia Martínez, Eva María Fernández Bonilla,

Abstract
We present the case of a 37-year-old Caucasian woman, with no history of interest, who came to the emergency room for an occlusive condition of 24 hours' evolution. The patient reported a weight loss of 12 kg in the last month, as well as the appearance of a lump in the left breast in the last week. A chest-abdominal CT scan revealed multiple solid-appearing nodules in the left breast, a metastatic liver lesion, and a tumor-like mass in the right iliac fossa measuring 90x60 mm. A biopsy of the breast lesion revealed a diffuse architectural pattern with destruction of the parenchyma and irregular medium-large cellularity with intense and diffuse expression of CD20, CD10 and Bcl6 and a proliferative index of practically 100%, consistent with lymphoma. Burkitt stage IV. Intestinal obstruction constitutes about 15% of hospital admissions for abdominal pain, representing a significant cause of hospital mortality. Although the most common causes of small bowel obstruction are benign (adhesions, hernias), intraluminal lesions such as inflammatory bowel disease or neoplasms are well-established causes associated with this clinical picture. Lymphomas constitute 25% of cases of intestinal obstruction of neoplastic origin; among them, Burkitt lymphoma is a rare type of B-cell lymphoma characterized by rapid and aggressive cell growth, the most common initial involvement of which is located at the abdominal and extra-nodal level.
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Sierra Gabarda O, Aguirre Portu N, Casas Deza D, Lamuela Calvo L, Betoré Glaría E, Julián Gomara B, et all. Intestinal occlusion due to Burkitt lymphoma: an unusual cause. 8765/2022


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Publication history

Received: 02/03/2022

Accepted: 18/04/2022

Online First: 24/05/2022

Published: 07/11/2022

Article Online First time: 83 days

Article editing time: 250 days


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