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November 1983

Burkitt's Lymphoma With Acute Appendicitis

Author Affiliations

Vancouver, British Columbia

Arch Surg. 1983;118(11):1352. doi:10.1001/archsurg.1983.01390110094023

To the Editor.—Involvement of the appendix in Burkitt's lymphoma is a rare occurrence.1 Only one such case was reported in a study of 117 cases of Burkitt's lymphoma of the gastrointestinal tract.2 Sin et al described two patients with Burkitt's lymphoma who had appendiceal involvement.3 In all three cases, appendicitis was the initial feature. We describe a patient with Burkitt's lymphoma who initially had acute appendicitis with perforation of the appendix.

Report of a Case.—A 22-year-old man was admitted to the hospital with a two-day history of epigastric and periumbilical pain, nausea, and diarrhea. There was no history of upper respiratory tract infection or urinary tract symptoms. Physical examination showed a pulse rate of 100 beats per minute and a BP of 120/70 mm Hg. There were no palpable masses or organomegaly. Rectal examination results were normal. Abnormal laboratory measurements included a WBC count of

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