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Burkitt lymphoma with unusual presentation: Acute pancreatitis
Author(s) -
Koca Tugba,
Aslan Nagehan,
Dereci Selim,
Akcam Mustafa
Publication year - 2015
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12640
Subject(s) - medicine , pancreatitis , endoscopic retrograde cholangiopancreatography , abdominal pain , acute pancreatitis , pancreas , lymphoma , cholestasis , hyperamylasemia , gastroenterology , magnetic resonance cholangiopancreatography , magnetic resonance imaging , radiology , pathology , amylase , biochemistry , chemistry , enzyme
Pancreatitis due to malignant infiltration is an uncommon condition in childhood. Pancreatic lymphomas constitute <2% of all non‐Hodgkin lymphomas. Only six reported cases with various clinical presentation have been documented in the literature. Described herein is the case of a nine‐year‐old boy with abdominal pain, jaundice, emesis, weight loss, diarrhea, who developed hyperlipidemia and cholestasis. Pancreatitis was suspected due to high amylase and lipase. Computed tomography and magnetic resonance cholangiopancreatography showed diffuse enlargement of the pancreas. This sausage pancreas imaging was suggestive of autoimmune pancreatitis, but the patient was diagnosed with Burkitt lymphoma on bone marrow aspiration, and rapidly improved with chemotherapy. Burkitt lymphoma should be kept in mind when patients present with pancreatitis, especially with diffuse enlarged pancreas.