Burkitt lymphoma of rectal localization to child: Role of surgery in the treatment
H Zerhouni, H Khir Allah, A EL Bakkaly, H Oubejja, M Erraji, Z Sefsafi, M Kabbaberi, N Maalmi, F Ettayebi
Rectal tumors are rare in children, Burkitt's lymphoma is exceptional. Only a few cases have been reported in the past 30 years, there are only 10 cases found in the litterature. Observation: This is a 15-year-old child with a constipation table, rectal bleeding and rectal syndrome, complicated by acute intestinal obstruction. The rectal examination noted the presence of a tumoral process at 1 cm from the anal margin. A radiological and anatomopathological assessment confirmed the diagnosis of Burkitt's lymphoma of rectal localization with medullar extension. A sigmoidostomy is performed urgently in order to remove the obstacle, the patient has benefited from chemotherapy, resulting in a 70% reduction of the tumor and the disappearance of Burkitt cells from the bone marrow. On the other hand, the patient presented a recto-urethral fistula leading to a vesicostomy, this complication has never been reported. Conclusion: Rectal tumors in children should be suspected in front of any rectal bleeding with the interest of rectal examination. Although treatment is based on chemotherapy, surgery occupies a significant place in the management of Burkitt's lymphoma of rectal location.