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

Abstract

Gastrointestinal tract is one of the most common extranodal site involved by non-Hodgkin lymphomas. However, Non-Hodgkin lymphomas are seen less in the small intestine. We present here a rare condition inthe literature which is a case of bilateral adrenal masses and Burkitt lymphoma with small intestine origin. Eleven years old male patient was admitted to pediatric emergency service with acute abdomen. Abdominal USG examination revealed intussusception and bilateral adrenal masses. Emergency surgery was planned. In the surgical operation, five lesions were seen in the small intestine. Partial small intestine resection was performed. The patient was diagnosed as Burkitt Lymphoma with small bowel origin due to pathology of resection material. Non-hodgkin lymphomas with small intestine origin usually present with abdominal pain, and their prognosis depends on histological type and grade. NHL-BFM 95 chemotherapy treatment was initiated and a good clinical response was achieved, and the patient remained in complete remission for two months after completion of chemotherapy. In conclusion, Bilateral adrenal masses remain a rare form of Burkitt lymphoma and care must be taken in ruling out other causes of bilateral adrenal masses. Furthermore, with this case, we emphasize that Burkitt lymphoma should be considered in differential diagnosis of bilateral adrenal masses.