Ano-rectal symptoms, related to Epstein-Barr Virus-Associated Burkitt's lymphoma in an immunocompetent patient

We report the case of an immunocompetent 23-year-old Caucasian woman, with symptoms including rectal bleeding, tenesmus and epreint, 6 months after an anal sexual trauma. The rectal examination showed a hardened, inflammatory and painful anal margin, associated with stenosis of the anal canal, sugge...

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Bibliographic Details
Published in:Gastroentérologie clinique et biologique 2007-04, Vol.31 (4), p.442
Main Authors: Degeorges, Stéphane, Mesnil, Adeline, Marion-Audibert, Anne-Marie, Bouafia-Sauvy, Fadhéla, Berger, Françoise, Bancel, Brigitte, Barnoud, Raphaëlle, Rode, Agnès, Péré-Vergé, Denis, Souquet, Jean-Christophe
Format: Article
Language:fre
Subjects:
Adult
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biopsy
Burkitt Lymphoma - diagnosis
Burkitt Lymphoma - diagnostic imaging
Burkitt Lymphoma - drug therapy
Burkitt Lymphoma - pathology
Female
Humans
Immunocompetence
Magnetic Resonance Imaging
Rectum - pathology
Sigmoidoscopy
Tomography, X-Ray Computed
Treatment Outcome
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Summary:We report the case of an immunocompetent 23-year-old Caucasian woman, with symptoms including rectal bleeding, tenesmus and epreint, 6 months after an anal sexual trauma. The rectal examination showed a hardened, inflammatory and painful anal margin, associated with stenosis of the anal canal, suggesting abscess. The neurological examination showed numbing of the chin. Pelvic MRI and CT scan confirmed a bulky posterior tissular pelvic mass more than 7 cm in diameter, infiltrating the rectum and the anal canal. Final diagnosis confirmed by biopsy performed during rectosigmoidoscopy was an Epstein-Barr Virus-Associated Burkitt's lymphoma. Chemotherapy resulted in rapid regression of the tumoral mass.
ISSN:0399-8320