An Atypical Presentation of Sporadic Jejunal Burkitt’s Lymphoma

Abstract EN

Burkitt’s lymphoma is a very aggressive type of B-cell NHL with replication approaching 100%.

Primary gastrointestinal lymphoma is rare.

In our case, a 24-year-old male initially presented with symptomatic anemia.

He was initially evaluated with colonoscopy and EGD, both of which were unremarkable.

A capsule endoscopy was then performed to further evaluate his significant anemia which revealed friable inflamed ulcerated mass in the jejunum.

A push enteroscopy was then performed to obtain tissue from the jejunal mass.

Biopsy results and immunohistochemical stains were consistent with Burkitt’s lymphoma.

PET/CT scan revealed only jejunal involvement.

Treatment consisted of bowel resection prior to chemotherapy due to concern for perforation with chemotherapy.

Patient achieved complete remission after the treatment.