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    Go to the top of the page   ID: 20051215115942 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, P. Göbel (Klinik für Kinderchirurgie Krankenhaus St. Elisabeth und St. Barbara Halle-S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    7 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    GI-Small intestine  

     
     Pediatric Radiology CasesMost likely etiology:

    neoplastic  

     
     Pediatric Radiology CasesHistory:

    One week ago, stomach ache for the first time, partly crampy in nature, 3 times a day. There is an obvious connection to food ingestion. In the sense of primary symptoms, bloodwork was done on the 2nd of November; there, anemia noted. On the 5th of November, initial worsening of the patient's condition with lack of appetite, malaise, increased stomach aches and a repeating vomiting with acute onset.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: RUQ transverse: 42x30 mm in size, irregularly marked, non-echo-free mass with incomplete, gechogenic edge. Changes position on breathing in the area of the right colonic flexure.





    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: RUQ longitudinal: Same mass in power-mode. Homogenic vasculature, therefore not a cystic process.





    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: RUQ diagonal: Questionable localization of the mass (in the gut?) which has a stalk-like structure. At the lower edge one got the impression that there was a intussception "bulls-eye," which was not able to be completely visualized.





    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: RUQ diagonal: Visualization of the vessel's stalk and the branching within the mass.





    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: RUQ transverse, paramedian: Obvious lymph node swelling medial to the mass.





    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Palpable tumor in the cecum.




    OP-Situs 2 <- view OP-Situs 2

    OP-Situs 2: Ileocecal transition. Lymph node in the foreground, tweezers in the partly intusscepted ileum in the cecum.




    OP-Situs 3 <- view OP-Situs 3

    OP-Situs 3: Intraoperative: Determination of the resection's edges.




    OP-Situs 4 <- view OP-Situs 4

    OP-Situs 4: Specimen luxated out of the cecum.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Gastrointestinal inflammatory myofibroblastic tumor, intussusception, duplication, lymphoma.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After extensive diagnostics (including CT, MRI), the ileocecal resection with end-to-end anastomosis is performed. After receiving histology, the child was transferred to the department of pediatric hematology and oncology.  

     
     Pediatric Radiology CasesComments of the author about the case:

    The sonographic categorization of the process in the lumen of the gut was difficult. Because of the connection to the gut and its partial intussusception, the categorization of which organ this belonged could be assumed. Intraoperatively, the sonographic findings of a partial intussusception were confirmed. A remarkable mobile cecum explains the localization of the tumor in a supine patient in the RUQ.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Mendelson, R.M., S.Fermoyle: Primary gastrointestinal Lymphomas: A radiological-pathological review. Part1: Stomach, oesophagus and colon
    Australasian Radiology (2005) 49, 353-364

    2. Medline: Medline
    Zuti,S.,G.A.Rouse,M.de Lange:
    Burkitt´s Lymphoma: A spectrum of sonographic findings
    J Diag Med Sonograph (1993) 9(1) 19-23  

     
     Pediatric Radiology CasesKeywords:

    Burkitt Lymphoma, Gut, tumor, partial intussusception, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: GI-Small intestine
    or in the region: GI
    or in the tissue/organ: Small intestine
    or with the etiology: neoplastic
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942


     

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    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search P. Göbel in Medline P. Göbel (6)   

    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)  
     
    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942


     

    Which diagnosis have other collegues guessed?


    • Lymphangioleiomyoma with Intussusception
      Votes: 5 (38 %)


    • Burkitt-Lymphoma
      Votes: 6 (46 %)


    • Simple Intussusception
      Votes: 0 (0 %)


    • Ganglioneuroma of the Intestines with Intussusception
      Votes: 2 (15 %)


    • Gut Duplication
      Votes: 0 (0 %)


    • Crohn's Disease
      Votes: 0 (0 %)



        Total answers: 13

     
    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942


     

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    B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma)
    Dirk Schaper, P Göbel. B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma). PedRad [serial online] vol 5, no. 12.
    URL: www.PedRad.info/?search=20051215115942


     




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