2018 Volume 43 Issue 4 Pages 604-610
A 60-year-old woman visited our hospital because of acute onset abdominal pain and vomiting. Computed tomography showed obstruction and dilation of the small intestine, which had filled with fluid. She was diagnosed with strangulation ileus and an emergency operation was performed. A small intestinal intussusception, which was due to a tumor of the small intestine, was found 150cm distal to the Bauhin valve (BV). Additionally, two palpable masses were found at 250cm and 280cm distal to the BV. Partial resections for two segments of the intestine (150cm and 280cm lesion) were performed. The histopathological diagnoses of the two tumors were follicular lymphoma, Grade 1, Ann Arbor ⅡE, Lugano ⅡE, and FILIPI2 score 1. After the operation, she has been undergoing chemotherapy. The intussusception of a low-grade tumor, such as had occurred in this case of follicular lymphoma, is rare. Nevertheless, it is necessary to consider malignant lymphoma as an inducible factor for intussusception and to use combined modality therapy, including an immediate operation for intussusception of follicular lymphoma.
