Report Of A Case Of Abdominal Burkitt's Lymphoma Presenting As Localised Right Iliac Fossa Pain Mimicking Acute Appendicitis

摘要

Burkitt's lymphoma is a high grade B-cell neoplasm and has two major forms; the endemic(African) and non endemic (sporadic)form. It is one of the fastest growing malignancies in human, with a very high growth fraction. The African form often involves the maxilla or mandible. In contrast the sporadic form usually involves abdominal organs with the most common involvement of the distal ileum, caecum or mesentery. The Epstein-Barr Virus(EBV) has been implicated strongly in the African form while such relationship is less clear (approx 20%)in the sporadic form.(1 ), The sporadic form commonly present with abdominal swelling ,pain or fullness. Some patients present with symptoms of bowel obstruction secondary to ileo-caecal intussusception caused by tumor growth. We present a case report of a 14 year old boy who presented with acute localized right iliac fossa pain of few hours duration with associated nausea and vomiting mimicking acute appendicitis. He was healthy in the past without any complaint. Such localized RIF presentations are rare. This case also emphasis the importance of medical diagnosis either by imaging (USG/CT) or direct visualization (laparoscopy) to characterize appendicular lesions and to select the appropriate surgical procedure.(2 )