Pediatric pancreatic Burkitt lymphoma with obstructive jaundice: case report of a six-year-old child

Imane Athmani, Marie-Amelyne Le Rouzic, Julie Valduga, Ludovic Mansuy, Audrey Contet, Marie-Agnès Galloy, Fanny Fouyssac, Pascal Chastagner


Introduction: Burkitt lymphoma represents about 50% of non-Hodgkin lymphomas and 3% of cancers in children. It commonly affects the abdomen; however, pancreatitis is a very rare initial presentation. Less than 10 cases with this presentation are reported in the literature. Observation: We report the case of a six-year-old girl who presented a rapidly progressing obstructive jaundice evolving for a week. The LDH rate was not increased. Medical imaging has shown a global increase in the size of the pancreas, homogeneous hepatomegaly with dilatation of the gallbladder and the intra-hepatic bile ducts, and infiltration of the left ovary, without ascites. The patient was diagnosed with pancreatic Burkitt Lymphoma after an endoscopic exploration and tumor biopsy. Conclusion: While extremely rare, Burkitt lymphoma should be evoked in the case of pancreatitis with a global increase of the pancreas size, associated with other intra-abdominal organ infiltration in the pediatric population.


Burkitt lymphoma; pancreatic tumor; obstructive jaundice; children; chemotherapy

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