Small bowel intussusception due to metastatic renal cell carcinoma

转移性肾细胞癌引起的小肠套叠

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Abstract

Metastases from renal cell carcinoma (RCC) are rarely located in the small bowel and usually present either with iron deficiency anaemia due to occult bleeding or obstructive symptoms. A 65-year-old man with not known malignancy was admitted to our hospital with symptoms of intermittent bowel obstruction. The abdominal computed tomography (CT) scan depicted a large tumour of the right kidney and obstruction of the small intestine at the level of the proximal jejunum. A jejuno-jejunal intussusception was found on laparotomy, due to endoluminal lesions that proved to be metastatic from RCC. Intussusception of the small bowel due to metastatic RCC is a very rare combination and only a few such cases have been reported so far in the literature.

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