Resection of a colonic mass following trauma: a diagnostic dilemma.

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Abstrakt

Tytuł:: Resection of a colonic mass following trauma: a diagnostic dilemma.
Autorzy:: Burchard P; Department of Surgery, University of Rochester, Rochester, NY 14642, USA.
Thomay AA; Department of Surgery, West Virginia University, Morgantown, WV 26506, USA.
Źródło:: Journal of surgical case reports [J Surg Case Rep] 2020 Jul 23; Vol. 2020 (7), pp. rjaa226. Date of Electronic Publication: 2020 Jul 23 (Print Publication: 2020).
Typ publikacji:: Case Reports
Język:: English
Imprint Name(s):: Publication: 2013- : Oxford : Oxford University Press
Original Publication: 2010-2012: Halesowen, UK : JSCR Publishing Limited
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Contributed Indexing:: Keywords: Burkitt lymphoma; colorectal surgery; surgical oncology; trauma
Entry Date(s):: Date Created: 20200731 Latest Revision: 20240329
Update Code:: 20240329
PubMed Central ID:: PMC7378017
DOI:: 10.1093/jscr/rjaa226
PMID:: 32728415
: Raport

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A 53-year-old Caucasian male presented with a 2-week history of abdominal distension, pain, nausea and lethargy. His symptoms began 1 day after an all-terrain vehicle accident during which he suffered blunt-force trauma to his mid-right abdomen. CT scan demonstrated abnormal thickening of the ascending colon and terminal ilium with surrounding inflammation within the retroperitoneum and colonic mesentery. Given his likely mechanism and symptomatic improvement, he was initially managed conservatively. However, he was readmitted with recurrence of symptoms, and a repeat CT scan demonstrated no interval improvement. An exploratory laparotomy was performed and a firm, fixed mass of the right-colon and colonic mesentery was found. Final histopathology of the mass revealed a diffuse lymphoid infiltrate with numerous mitotic figures and apoptotic cells. Immunohistochemical staining was positive for CD45, CD20, CD10, and BCL-6 and negative for CD3, TdT, and BCL-2, indicating a diagnosis of Burkitt lymphoma.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020.)

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