A case of Burkitt Lymphoma discovered by digital rectal exam.
Colin WinkeBrandon MooreJacob GelmanStephan PaulAudra RousterAmy GuidoPublished in: JPGN reports (2024)
Burkitt Lymphoma (BL) is an aggressive B-cell lymphoma predominantly encountered in pediatrics. Sporadic type typically involves the abdomen and/or pelvis. We present an 8-year-old Caucasian male with vomiting, weight loss, fatigue, and abdominal pain. An abdominal X-ray was unremarkable without any acute findings. Pediatric gastroenterology was consulted and recommended esophagogastroduodenoscopy and colonoscopy. A digital rectal exam (DRE) was performed, and a firm lesion was palpated. The colonoscopy was normal. Subsequent magnetic resonance imaging and computed tomography scans revealed a lesion in the left lower quadrant with mass-like processes involving the porta hepatis and encasing the left distal ureter. Tissue biopsy confirmed BL. The patient completed chemotherapy and achieved remission. This case highlights DRE as a basic physical exam skill in the evaluation of patients with nonspecific gastrointestinal symptoms.
Keyphrases
- abdominal pain
- computed tomography
- magnetic resonance imaging
- diffuse large b cell lymphoma
- weight loss
- dual energy
- positron emission tomography
- contrast enhanced
- rectal cancer
- high resolution
- african american
- bariatric surgery
- mental health
- sleep quality
- liver failure
- chemotherapy induced
- late onset
- type diabetes
- single cell
- colorectal cancer screening
- locally advanced
- respiratory failure
- ultrasound guided
- insulin resistance
- skeletal muscle
- drug induced
- early onset
- diffusion weighted imaging
- body mass index
- pet ct