Intussusception caused by typhlitis: a rare complication in a patient with acute lymphoblastic leukemia after chemotherapy

Int J Colorectal Dis. 2019 Oct;34(10):1815-1818. doi: 10.1007/s00384-019-03395-y. Epub 2019 Sep 11.

Abstract

Introduction: Intussusception, which is common in pediatric patients but rare in adults with leukemia, usually presents with an intralumenal lesion as a lead point in adults.

Case report: We herein report the case of a 38-year-old female who developed right lower quadrant abdominal pain and fever on day 16 of chemotherapy. Abdominal computed tomography showed ileocecal intussusception. The patient underwent surgery, and the definitive pathological diagnosis was typhlitis leading to intussusception. Albeit very rare in adults, typhlitis-induced intussusception should be suspected in those with leukemia presenting with abdominal pain.

Keywords: Acute lymphoblastic leukemia; Intussusception; Typhlitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Intussusception / diagnostic imaging
  • Intussusception / etiology*
  • Intussusception / surgery
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / diagnostic imaging
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
  • Tomography, X-Ray Computed
  • Typhlitis / complications*
  • Typhlitis / diagnostic imaging