Nadir Bir Akut Batın nedeni; Burkitt Lenfoma

Yıl 2014, Cilt: 5 Sayı: 7, 212 - 214, 01.07.2014

Bünyami Özoğul Abdullah Kısaoglu Murat Sarıtemur Atıf Bayramoğlu Ayhan Aköz

Öz

Giriş: Sıklıkla ekstranodal tutulum gösteren Burkitt Lenfoma,
Hodgkin dışı lenfomaların agresiv davranış gösterenlerinden
biridir.
Olgu Sunumu: On yedi yaşında erkek hasta karın ağrısı şikayeti
ile acil kliniğine başvurdu. Sağ alt kadranda hassasiyeti belirgindi
ancak defans ve rebound bulgusu şüpheliydi. İlk bakılan
hemogram değerinde lökosit sayısı normal sınırlarda olan
hastaya çekilen batın ultrasonografi ve intravenöz kontrastlı batın
tomografisinde çekum etrafında periintestinal mayi ve patolojik
lenf nodları mevcuttu. Takip ve tedavi amacıyla kliniğe yatırılan
hastanın beyaz küre değerinin 18200/µL’e (nötrofil %89,7)
yükselmesi nedeniyle acil operasyona alındı. Çekumun yaklaşık
4-5 cm proksimalinde lümen içerisini dolduran palpasyonda
yumuşak kıvamda, lümeni tama yakın tıkamış kitle lezyon Burkitt
lenfoma olarak rapor edildi.
Sonuç: İntestinal lenfomaların rutin radyolojik yöntemler ile tanısı
zordur. Acil servise gelen ve akut batın tablosuna sahip hastalarda
alternatif tanılar da akılda bulundurulmalıdır

Anahtar Kelimeler

Akut Batın, Burkitt Lenfoma

A Rare Cause of Acute Abdomen; Burkitt's Lymphoma

Öz

Introduction: Burkitt lymphoma, one of the non-Hodgkin's lymphomas with aggressive behavior, frequently shows extranodal involvement.Case Report: A 10 year-old male patient admitted to the emergency department with abdominal pain. He had significant right lower quadrant tenderness, but abdominal guarding and rebound tenderness signs were not clear. On admission, patient’s white blood cell count was in normal range. Abdominal ultrasonography and intravenous contrast-enhanced abdominal computed tomography revealed periintestinal fluid around the cecum and pathological lymph nodes. The patient was hospitalized to the general surgery clinic for follow-up and treatment. Because of the patient's white blood cell count increased to 18200/μL (neutrophils 89.7%) in follow-up he was operated urgently. A mass lesion which is localized approximately 4-5 cm proximal to the cecum and filling the lumen was detected. It had soft consistency on palpation and obstructed the lumen almost complete. The lesion was reported as Burkitt's lymphoma. Conclusion: It is difficult to diagnose intestinal lymphoma with routine radiological methods. An alternative diagnosis should be kept in mind in the patients who admitted to the emergency department with acute abdomen

Anahtar Kelimeler

Acute Abdomen, Burkitt’s Lymphoma

Kaynakça

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