Plasmablastic Lymphoma Causing Adult Intussusception After Cardiac Transplantation.

CRSLS : MIS case reports from SLS Pub Date : 2021-11-02 eCollection Date: 2021-10-01 DOI:10.4293/CRSLS.2021.00069
Jeffrey Silverstein, Helen Liu, David Shin, David Berler
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Abstract

Intussusception in adults is a rare occurrence at approximately 5% and malignancy as the cause comprises half that number. The most common malignancies found are primary adenocarcinoma, metastatic carcinoma, lymphoma, and gastrointestinal stromal tumors. Lymphoma is the second most common. The management of adult intussusception is generally surgical, which is due to the higher likelihood of malignancy being the underlying cause. The patient's history helps to direct management and the most likely underlying diagnosis. This is especially important in patients who are immunosuppressed and with a history of lymphoproliferative disease. Early management and proper surgical intervention allow for the best survival rate. Here we present a case of adult intussusception caused by a rare and aggressive type of non-Hodgkin lymphoma.

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心脏移植后浆母细胞淋巴瘤引起成人肠套叠。
成人肠套叠罕见,发生率约为5%,其中一半为恶性。最常见的恶性肿瘤是原发性腺癌、转移癌、淋巴瘤和胃肠道间质瘤。淋巴瘤是第二常见的。成人肠套叠的处理通常是手术,这是由于恶性肿瘤的可能性较高,是潜在的原因。病人的病史有助于指导治疗和最可能的潜在诊断。这对免疫抑制和有淋巴增生性疾病史的患者尤其重要。早期处理和适当的手术干预可以提高生存率。我们在此报告一例由罕见侵袭性非霍奇金淋巴瘤引起的成人肠套叠。
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