Metastatic clear-cell renal carcinoma: an exceptional cause of ileocolonic intussusception in adults
J. coloproctol. (Rio J., Impr.)
;
43(2): 136-138, Apr.-June 2023. ilus
Article
Dans Anglais
| LILACS
| ID: biblio-1514431
ABSTRACT
Introduction:
Intussusceptions in adults are rare, representing 1% to 5% of intestinal obstructions in this age group. This condition can be caused by benign and malignant lesions acting as lead points, the latter being the most frequent. Furthermore, the diagnosis is challenging due to the non-specific symptoms with variable duration. Case Presentation A 43-year-old man, with a history of localized clear-cell renal carcinoma (ccRCC) treated 9 years earlier with a right radical nephrectomy, presented with bowel obstruction symptoms. An abdominal computed tomography scan showed an ileocolonic intussusception. Hence, the patient required a right hemicolectomy with ileotransverse anastomosis. The histopathological analysis showed a metastatic ccRC to the terminal ileum causing the intussusception.Discussion:
Adult intussusceptions are rare. However, they should be considered in the differential diagnosis of patients with abdominal pain and symptoms of bowel obstruction. Metastases of renal cancer to the small bowel are uncommon and even more so in the form of intussusception. Definitive treatment must be tailored to the patient's condition and underlying cause. (AU)
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Néphrocarcinome
/
Maladies du côlon
/
Valvule iléocaecale
/
Intussusception
/
Tumeurs du rein
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
J. coloproctol. (Rio J., Impr.)
Thème du journal:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroentérologie
/
Cirurgia
Année:
2023
Type:
Article
Pays d'affiliation:
Mexique
Institution/Pays d'affiliation:
National Institute of Medical Science and Nutrition Salvador Zubiran/MX
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