Synchronous Jejunal Metastasis Presenting as Intussusception in a Case of Advanced RCC: a Rare Presentation

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• 作者：Shwetank Mishra (1)
  Shankar Prasad Hazra (1)
  Vinod Priyadarshi (1)
  Hemant Goel (1)
  Dilip Kumar Pal (1)
  
  1. Department of Urology ; I.P.G.M.E.&R. and S.S.K.M. Hospital ; 244 ; A.J.C. Bose Road ; Kolkata ; 700020 ; India
  
• 关键词：Renal cell carcinoma ; Synchronous metastasis ; Small intestine ; Intussusception
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：77
• 期：1
• 页码：59-61
• 全文大小：323 KB
• 参考文献：1. Srinivasan, M, Linehan, WM Treatment of advanced renal cell carcinoma, chapter 50. In: Wein, AJ, Kavoussi, LR eds. (2012) Campbell鈥揥alsh urology. Elsevier Saunders, Philadelphia, pp. 1475-1479
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  4. Hession, PR, Campbell, RS (1997) Late presentation of solitary jejunal metastasis from renal cell carcinoma. Int J Clin Pract 51: pp. 334-335
  5. Johnson, WA, Straus, FH (1952) Intussusception of the small intestine produced by metastatic renal carcinoma. Surgery 32: pp. 991-996
  6. Khan, AB (1991) Ileocaecal intussusception due to metastatic renal carcinoma. Br J Urol 67: pp. 657-658 CrossRef
  7. Starr, A, Miller, GM (1952) Solitary jejunal metastasis twenty years after removal of a renal-cell carcinoma; report of a case. N Engl J Med 246: pp. 250-251 CrossRef
  8. Ogiso, S, Maeno, A, Nagahama, K, Nakamura, K, Okuno, H (2005) Small intestinal metastases from renal cell carcinoma: a case report and literature review. Acta Urol Jpn 51: pp. 13-6
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

Renal cell carcinoma (RCC) may metastasize to almost any organ, but metastasis to the small bowel is very rare. Factors responsible for a resistant behavior of small bowel wall are still not clear. Small bowel metastasis from RCC may cause obstruction, bleeding, and perforation. RCC metastasis to the small bowel presenting as intussusception is extremely rare. Only 20 cases of small bowel intussusceptions caused by metastatic RCC have been reported worldwide. Here, we are reporting this rare case of RCC with simultaneous solitary metastasis in jejunum which presented as intussusceptions and which was treated with simultaneous radical nephrectomy, jejunal resection, and anastomosis.