Burkitt lymphoma (abdominal manifestations)
Abdominal manifestations of Burkitt lymphoma occur in the non-pandemic variant of Burkitt lymphoma. For a general discussion of Burkitt lymphoma, and for links to other system specific manifestations, please refer to Burkitt lymphoma.
Whenever Burkitt lymphoma presents, it is predominantly an extra-nodal lymphoma mass. When this occurs in the abdomen, it may be as a soft-tissue mass, or with involvement of bowel wall.
Burkitt lymphoma has a rapid doubling time and, as such, there may be presentation with abdominal distention over a short period of time. This may be with, or without a palpable mass.
If there is GI tract involvement, there may also be bowel-related symptoms with bowel dysfunction, mucus or blood PR. This may initially be investigated as infection or inflammatory bowel disease. However, abdominal distention will occur rapidly and usually trigger additional investigation.
In the abdomen Burkitt will present as:
- a mass (which will be a solid mass on ultrasound, CT or MRI)
- bowel involvement (with bowel wall thickening and diffusion restriction)