Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 26, 2020; 8(2): 306-312
Published online Jan 26, 2020. doi: 10.12998/wjcc.v8.i2.306
Recurrent lymphoma presenting as painless, chronic intussusception: A case report
Parker Giroux, Anderson Collier, Michael Nowicki
Parker Giroux, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS 39216, United States
Anderson Collier, Division of Pediatric Hematology and Oncology, University of Mississippi Medical Center, Jackson, MS 39216, United States
Michael Nowicki, Division of Pediatric Gastroenterology, University of Mississippi Medical Center, Jackson, MS 39216, United States
Author contributions: Giroux P wrote the case report portion and edited the final manuscript; Collier A reviewed and edited the final manuscript; Nowicki M wrote the discussion portion and reviewed and edited the final manuscript.
Informed consent statement: Informed consent was given by the parents.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Michael Nowicki, MD, Professor, Director of Pediatric Endoscopy, Division of Pediatric Gastroenterology; University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216, United States. mnowicki@umc.edu
Received: September 26, 2019
Peer-review started: September 26, 2019
First decision: October 24, 2019
Revised: December 17, 2019
Accepted: December 21, 2019
Article in press: December 21, 2019
Published online: January 26, 2020
Core Tip

Core tip: Acute lymphoblastic leukemia and recurrent B-cell lymphoma are known to present in the gastrointestinal tract, most commonly with abdominal pain, either alone or in association with other symptoms, including rectal bleeding, vomiting, and/or abdominal distention. A common presentation is that of intussusception. We report a patient who was found to have recurrent B-cell lymphoma leading to intussusception during colonoscopy being performed for evaluation of anemia. There were no other clinical features, including abdominal pain, to suggest intussusception prior to colonoscopy. This case should serve as a cautionary tale that serious complications resulting from acute lymphoblastic leukemia may occur despite minimal clinical symptoms.