International Journal of Health Sciences & Research (www.ijhsr.org) 309 Vol.6; Issue: 11; November 2016 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Case Report An Atypical Presentation of Ileocolic Intussusception Secondary to Burkitt’s Lymphoma Mangesh Hivre 1 , Anurag Yadav 1 , Akshay Pednekar 2 , Bhupendra Mehra 3 , Dilip Gupta 3 , Tushar Nagtode 2 1 Resident, 2 Assistant Professor, 3 Professor, General Surgery, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha. Corresponding Author: Mangesh Hivre Received: 03/09/2016 Revised: 23/10/2016 Accepted: 25/10/2016 ABSTRACT Burkitt’s lymphoma is an uncommon cause of intussusception. Intussusception rarely occurs after the first 6 years of life. Etiology of childhood intussusception differs depending on age at presentation. Here we present an interesting case of a 7-year-old male child who presented with pain in abdomen and constipation since 15 days with distension of abdomen since 2 days. X-ray abdomen revealed multiple air fluid levels suggestive of intestinal obstruction. On Ultrasonography and CT scan abdomen, diagnosis of ileo-colic intussusceptions was made. Patient was posted for laparotomy and resection and anastomosis of the involved segment was done. Histopathological examination revealed features suggestive of Burkitt’s lymphoma. Post operatively patient was given chemotherapy. Patient was followed up post operatively and post chemotherapy for six months and has no complaints at present. Keywords: Burkitt’s lymphoma, Intussusception, Intestinal obstruction, Ileocolic. INTRODUCTION Intussusception is the most common cause of intestinal obstruction in infants between 6 and 36 months of age. Approximately 60 percent of children are younger than one year old, and 80 to 90 percent are younger than two years. Intussusception is less common before three months and after six years of age. Intussusception caused by Burkitt lymphoma as a cause of acute abdomen is rare, with often misleading symptoms that make the diagnosis more difficult. [1] Many paediatric patients with Burkitt lymphoma present with intussusception as a first clinical sign, a presentation that potentially leads to the disease detection at an earlier stage. [2] The gastrointestinal tract is the most common extra-nodal site of, [3] Burkitt’s lymphoma is a diffuse, undifferentiated, malignant monoclonal B- cell lymphoma with two major clinical presentations. American Burkitt’s differs from the African type described by Burkitt in 1958 in its increased propensity for widespread involvement, especially within the abdominal cavity. [4] Pathologically, Burkitt’s lymphoma and enteropathy- associated T-cell lymphoma, with MALT type are the most common lymphoma of the small intestine and account for 42.5% of the lymphomas. [5] We hereby present a case of ileocolic intussusception in a 7 year old male child patient due to intestinal Burkitt’s lymphoma. PRESENTATION OF CASE A 7 year old male child presented to surgery department of our hospital with