Laparoscopic Ileocecal Resection for Intussusception Caused by Recurrent Mantle Cell Lymphoma

Terada Tsuyoshi, Inamura Yukio, Saito Naoko, Akiyama Shun, Nobuhiro Masanori, Mori Yukihiro, Kamihata Kyohei, Takezawa Ei, Morikawa Akitaka

doi:10.11231/jaem.43.89

Bibliographic Information

Other Title

マントル細胞リンパ腫再発による腸重積に対し，腹腔鏡下回盲部切除術を施行した1例
マントルサイボウリンパシュサイハツニヨルチョウジュウセキニタイシ,フククウキョウカカイモウブセツジョジュツオシコウシタ 1レイ

Search this article

Abstract

<p>Mantle cell lymphoma (MCL) has a poor prognosis, and it may recur after complete remission and cause intussusception. The patient was an 83-year-old man, who had been diagnosed with MCL 2 years and 5 months before and followed up after a complete remission had been induced by combination chemotherapy consisting of bendamustine and rituximab. This time he presented with vomiting. Computer tomography and colonoscopy revealed numerous submucosal tumors in the small intestine and large intestine, ileocecal intussusception caused by these tumors, and multiple lymphadenopathies. After decompression of the intestinal tract with a Miller-Abbott tube, a laparoscopic ileocecal resection was performed to relieve the symptoms produced by the intussusception. Histopathological examination confirmed the diagnosis of recurrent MCL. The postoperative course was uneventful. Combination chemotherapy with bendamustine and rituximab was restarted on postoperative day 17, and a complete remission was achieved after a total of 5 courses. Laparoscopic surgery is an effective surgical treatment option for intussusception caused by MCL, because it is minimally invasive and enables early institution of chemotherapy.</p>

Journal

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 43 (1), 89-92, 2023-01-31

Japanese Society for Abdominal Emergency Medicine

Keywords

Details 詳細情報について

Export