Small İntestine İntussusception Accompanying With Bilateral Adrenal Mass In A 11 Years Old Child With Burkitt Lymphoma

Yıl 2020, Cilt: 15 Sayı: 2, 52 - 55, 08.07.2020

Nafiz Sarışık , Can Acıpayam , Ahmet Gökhan Güler , Abdülkadir Yasir Bahar Betül Kızıldağ , Fatih Temiz

https://doi.org/10.17517/ksutfd.541100

Öz

The
Gastrointestinal system is one of the most common places for extranodal
Non-Hodgkin lymphomas. On the other hand, Non-Hodgkin lymphomas have been seen
less in the small intestine. We present here a rare condition in the literature
which is a case of bilateral adrenal mass and Burkitt lymphoma with small
intestine origin. Eleven  years old male patient applied to pediatric emergency service with acute abdomen. In the abdominal
USG examination intussusception and bilateral adrenal mass had seen. In a surgical operation, five lesions were seen in the small intestine. Partial small intestine resection was performed.
In the pathological examination of the resection material Burkitt Lymphoma with the origin of the small intestine diagnosed to
the patient. Prognosis of NHL with the origin of the small intestine, adrenal mass and come with an acute abdomen depends on the histological type and grade.  He was started on NHL-BFM95 chemotherapy and had a good
clinical response and he was remained in complete remission for two months
after completion of chemotherapy. Bilateral adrenal mass remains a rare form of
Burkitt lymphoma and care must be taken in ruling out other causes of bilateral
adrenal masses.

Anahtar Kelimeler

Primary adrenal mass, Non-Hodgkin lymphoma, small intestine

Kaynakça

• 1. Schreiber CS, Sakon JR, Simião FP, et al. Primary adrenal lymphoma: a case series study. Ann Hematol. 2008;87(10):859-61.
• 2. Ozimek A, Diebold J, Linke R, Heyn J, Hallfeldt K, Mussack T. Bilateral primary adrenal non-Hodgkin's lymphoma and primary adrenocortical carcinoma--review of the literature preoperative differentiation of adrenal tumors. Endocr J. 2008; 55(4):625-38.
• 3. Zhang L, Talwalkar SS, Shaheen SP 2nd. A case of primary unilateral adrenal Burkitt-like large cell lymphoma presenting as adrenal insufficiency. Ann Diagn Pathol. 2007; 11(2):127-31.
• 4. Hsu CW, Ho CL, Sheu WH, Harn HJ, Chao TY. Adrenal insufficiency caused by primary aggressive non-Hodgkin's lymphoma of bilateral adrenal glands: report of a case and literature review. Ann Hematol. 1999;78(3):151-4.
• 5. Bethel CA, Bhattacharyya N, Hutchinson C, Ruymann F, Cooney DR. Alimentary tract malignancies in children. J Pediatr Surg. 1997;32(7):1004-8; discussion 1008-9.
• 6. Cossaro M, Noce L, Bonutti A, et al. An abdominal Burkitt's lymphoma in acute phase. Case report. Minerva Pediatr. 2006;58(3):311-8.
• 7. Sandlund JT, Downing JR, Crist WM. Non-Hodgkin's lymphoma in childhood. N Engl J Med. 1996 May 9;334(19):1238-48.
• 8. Al-Sayes FM. Gastrointestinal Non-Hodgkin's lymphoma: a clinico-pathological study. Saudi J Gastroenterol. 2006;12(3):118-22.
• 9. De Miguel Sánchez C, Ruiz L, González JL, Hernández JL. Acute adrenal insufficiency secondary to bilateral adrenal B-cell lymphoma: a case report and review of the literature. Ecancermedicalscience. 2016;10:634.
• 10. Erçolak V, Kara O, Günaldı M, et al. Bilateral primary adrenal non-hodgkin lymphoma. Turk J Haematol.2014;31(2):205-6.
• 11. Wang J, Sun NC, Renslo R, et al. Clinically silent primary adrenal lymphoma: a case report and review of the literature. Am J Hematol. 1998;58(2):130-6.
• 12. Lee KS, Chung YS, Park KH, Kim HS, Kim HM. A case of primary bilateral adrenal lymphoma with partial adrenal insufficiency. Yonsei Med J. 1999 ;40(3):297-300.
• 13. Wang JP, Sun HR, Li YJ, Bai RJ, Gao S. Imaging features of primary adrenal lymphoma. Chin Med J (Engl). 2009;122(20):2516-20.
• 14. Rashidi A, Fisher SI. Primary adrenal lymphoma: a systematic review. Ann Hematol. 2013;92(12):1583-93.