A COMPLETE ILEO-TUMOR-COLIC FISTULA IN A CHILD WITH BURKITTS-LYMPHOMA

A boy with abdominal Burkitt's lymphoma developed rectal bleeding, abd ominal distension, pain, and fever three weeks after diagnosis. Imagin g studies revealed a necrotic tumor mass allowing a fistulous pathway from the ileum to the proximal colon. A laparotomy was performed, with resection of the large necrotic tumor. The child recovered, and has h ad no further evidence of Burkitt's disease. The radiological evaluati on performed in this case ensured proper medical management and surgic al intervention during a life-threatening event. The possibility of bo wel perforation as a complication of therapy for abdominal lymphoma mu st be recognized.