İleoçekal İnvajinasyona Neden Olan İntestinal Non-Hodgkin Lenfoma: Olgu Sunumu

İnvajinasyon, bağırsağın birbirini takip eden iki segmentin, birbirinin içine girmesidir. Acile karın ağrısı ile başvuran 31 yaşında bayan hastanın batın grafisinde yer yer hava-sıvı seviyeleri izlenmesi üzerine çekilen abdominal bilgisayarlı tomografide transvers kolon düzeyinden başlayıp, çekuma kadar uzanım gösteren kitle ve invajine barsak segmenti izlendi. Kitlenin histopatolojik inceleme sonucu non-hodgkin lenfoma olarak değerlendirildi. Erişkinlerde görülen intestinal invajinasyon olguları, ince bağırsağın malign tümörlerine bağlı oluşabilmektedir. Bu sebeple, intestinal invajinasyona sebep olan kitlenin çıkarılmasında, yapılacak rezeksiyonun sınırlarının biraz daha geniş tutulması düşünülebilir.

Anahtar Kelimeler:

İnvajinasyon, non hodgkin lenfoma, malign tümör

Intestinal Non-Hodgkin Lyphoma causing ileocaecal invagination: a case report

Invagination is getting into each other of two consecutive intestinal segments. A 31 year old female admitted to emergency department with abdominal pain, x-ray of the abdomen revealed occasional air - fluid levels. Abdominal Computed Tomography scan performed and it showed a mass in transvers colon elongated to caecum and invaginated bowel segments. Histopathological evaluation of the mass revealed non hodgkin lymphoma. Intestinal invaginations in adults are mostly caused of malign tumors of the intestine. Therefore, a wider excision of the mass caused invagination should be considered.

Keywords:

Invagination, non-hodgkin lymphoma, malign tumor,

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Chandra N, Campbell S, Gibson M, Reece-Smith H, Mee A.Intussusception caused by a heterotopic pancreas. Case report and literature review. JOP. 2004;5:476-479
Azar T, Berger DL. Adult intussusception. Ann Surg 1997; 226:134–138
Reijnen HA, Joosten HJ, de Boer HH. Diagnosis and treatment of adult intussusception. Am J Surg 1989;158: 25–28.
Begos DG, Sander A, Modlin IM. The diagnosis and mangement of adult intussusception. Am J Surg 1997;173: 88–94
Triantopoulou C, Vassilaki A, Filippou D, Velonakis S, Dervenis C, Koulentianos E. Adult ileocolic intussuscep- tion secondary to a submucosal cecal lipoma. Abdom Imaging 2004 29:426–428
Taylor BA, Wolff BG, Colonic lipomas: report of two unusual cases and review. Dis colon rectum 1987; 30:11: 888-893.
Weilbaecher D, Bolin JA, Hearn D, Ogden W. In- tussusception in adults. Review of 160 cases. Am J Surg 1971;121: 531–535
Ellis H, Calne R, Watson C. Lecture notes in General Surgery, 9th edition. Oxford, Blackwell Science Ltd 1998
Warshauer DM, Lee JK. Adult intussusception detected at CT or MR imaging: clinical-imaging correlation. Radio- logy. 1999; 212: 853–860
Barussaud M, Regenet N, Briennon X, de Kerviler B, Pessaux P, Kohneh-Sharhi N, Lehur PA, Hamy A, Leborg- ne J, le Neel JC, Mirallie E. Clinical spectrum and surgical approach of adult intussusceptions: a multicentric stu- dy. Int J Colorectal Dis. 2005; 11: 3-7
D.R. Anderson. The pseudokidney sign. Radiology. 1999;211: 395-397
Mok PM, Humphrey A. Ileo-ileocolic intussusception: radiologic features and reducibility. Pediatr Radiol 1982;12:127–31.
13. Toso C, Erne M, Lenzlinger PM, Schmid JF, Büchel H, Melcher G, Morel P. Intussusception as a cause of bowel obstruction in adults. Swiss Med WKYL 2005;135: 87–90