Tan QL, Tang Q, Chen XQ, Huang L, Yun X, Shan QW. Acute abdominal pain as the initial presenting symptom of pediatric Burkitt lymphoma: A case report and literature review.
Medicine (Baltimore) 2025;
104:e41600. [PMID:
39993110 PMCID:
PMC11856959 DOI:
10.1097/md.0000000000041600]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2024] [Accepted: 11/06/2024] [Indexed: 02/26/2025] Open
Abstract
RATIONALE
Acute abdominal pain is a prevalent clinical symptom in pediatric patients, primarily attributed to pediatric acute abdomen. However, there are rare exceptional instances where neoplastic diseases may cause acute abdominal pain.
PATIENT CONCERNS
The present study encompasses a case of pediatric Burkitt lymphoma wherein acute abdominal pain manifested as the initial symptom, erroneously diagnosed as acute appendicitis.
DIAGNOSES
The immunohistochemistry results of laparoscopic biopsy revealed Burkitt lymphoma, characterized by positive expression of CD20, CD79a, CD10, BCL-6, MUM1, and strong positive expression of CD38, c-myc, cyclinD1, and Ki-67 positive index >90%+.
INTERVENTIONS
The child underwent regular chemotherapy according to the SCCCG-BL/DLBCL-2017 regimen.
OUTCOMES
During the 13-month follow-up period, the patient's obtained complete remission by Positron emission tomography-computed tomography scan.
LESSONS
The objective of this study is to enhance the awareness of clinical pediatricians regarding cases of acute abdominal pain caused by lymphoma.
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