Abstract
A boy with abdominal Burkitt's lymphoma developed rectal bleeding, abdominal distension, pain, and fever three weeks after diagnosis. Imaging studies revealed a necrotic tumor mass allowing a fistulous pathway from the ileum to the proximal colon. A laparotomy was performed, with resection of the large necrotic tumor. The child recovered, and has had no further evidence of Burkitt's disease. The radiological evaluation performed in this case ensured proper medical management and surgical intervention during a life-threatening event. the possibility of bowel perforation as a complication of therapy for abdominal lymphoma must be recognized.
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References
Murphy SB (1980) Classification, staging and end results of treatment of childhood non-Hodgkin's lymphomas: dissimilarities from lymphomas in adults. Semin Oncol 7: 332–339
Magrath IT (1989) Malignant non-Hodgkin's lymphomas. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology. Lippincott, Philadelphia, pp 415–456
Katras T, Thur de Koos P, McKoy S, Stanton PE Jr (1989) Malignant duodenocolic fistulas. J Tenn Med Assoc 82: 123–126
Knowles S, Smart HE, Al-Dawoud A, Kerr DJ (1992) Small bowel fistual secondary to endarterits obliterans, complicating chemotherapy for small bowel lymphoma. Br J Radiol 65: 349–350
Meyers PA, Potter VP, Wollner N, Exelby P (1985) Bowel perforation during initial treatment for childhood non-Hodgkin's lymphoma. Cancer 56: 259–261
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Moertel, C.L., Watterson, J., Drake, D.G. et al. A complete ileo-tumor-colic fistula in a child with Burkitt's lymphoma. Pediatr Radiol 23, 467–468 (1993). https://doi.org/10.1007/BF02012455
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DOI: https://doi.org/10.1007/BF02012455