反复肠套叠并伯基特淋巴瘤1例并文献回顾

Recurrent Intussusception and Burkitt Lymphoma: 1 Case and Literature Review

摘要: 目的：深入了解儿童肠套叠合并伯基特淋巴瘤的临床特征和诊疗方法，以增进对该病的认知。方法：报道了我院最近治疗的一例患有反复肠套叠并伯基特淋巴瘤儿童的临床资料，并通过检索中国知网、PubMed、Web of Science等数据库，回顾了相关文献，总结了儿童肠套叠并伯基特淋巴瘤的临床特点。结果：该患儿首发症状为肠套叠，经腹腔镜复位后复发。CT检查提示肠套叠伴有周围渗出积液、多发性肿大淋巴结，以及局部软组织密度影。随后患儿接受开放性手术和术后辅助化疗。结论：首发症状为肠套叠的伯基特淋巴瘤表现多样，其诊断需要综合考虑临床表现、实验室检查和影像学检查。病理检查是确诊的金标准。本文提供了临床参考和诊疗思路。

Abstract: Objective: To understand the clinical features and diagnosis and treatment of children with intussusception and burkitt lymphoma in order to improve the understanding of the disease. Methods: The clinical data of a child with recurrent intussusception and Burkitt lymphoma recently treated in our hospital were reported, and the relevant literature was reviewed by searching databases such as CNKI, PubMed, Web of Science, etc., and the clinical characteristics of children with intussusception and Burkitt lymphoma were summarized. Results: The first symptom of the child was intussusception, which recurred after laparoscopic reduction. CT scan shows intussusception with peripheral effusion, multiple enlarged lymph nodes, and local soft tissue density opacities. Later, the child underwent open surgery and postoperative adjuvant chemotherapy. Conclusion: Burkitt lymphoma with intussusception as the first symptom has a variety of manifestations, and its diagnosis needs to be based on comprehensive clinical manifestations, laboratory tests and imaging examinations. Pathologic examination is the gold standard for diagnosis. This article provides clinical reference and diagnosis and treatment ideas.