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
in En
| LILACS
| ID: biblio-1514431
Responsible library:
BR545.3
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)Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Carcinoma, Renal Cell
/
Colonic Diseases
/
Ileocecal Valve
/
Intussusception
/
Kidney Neoplasms
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
GASTROENTEROLOGIA
/
Cirurgia
Year:
2023
Document type:
Article
Affiliation country:
Mexico
Country of publication:
Brazil