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Double Intussusceptions in the Small Intestine Caused by Metastatic Renal Cell Carcinoma: Report of a Case

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Abstract

Renal cell carcinoma (RCC) may metastasize to almost any organ, but it is unlikely to be a direct cause of intussusception. We report a case of double enteric intussusceptions caused by metastatic RCC in a 64-year-old man. The patient presented with intermittent abdominal pain and diarrhea 11 years after undergoing a radical nephrectomy. Abdominal computed tomography (CT) showed two enhanced masses with the “target” sign, suggesting enteric intussusceptions. We performed partial enterectomy, and histological examination confirmed that the tumors had originated from RCC. To our knowledge, this is the first report of metastases from RCC manifesting as synchronous intraluminal polypoid tumors serving as the lead points of two intussusceptions in the small intestine. Thus, the possibility of multiple tumor metastases in the small intestine, with or without intussusceptions, should be considered in patients with recurrent RCC.

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References

  1. HL Laws JS Aldrete (1976) ArticleTitleSmall-bowel obstruction: a review of 465 cases South Med J 69 733–4 Occurrence Handle935902 Occurrence Handle1:STN:280:CSmB38vkslM%3D

    PubMed  CAS  Google Scholar 

  2. RH Stewardson CT Bombeck LM Nyhus (1978) ArticleTitleClinical operative management of small bowel obstruction Ann Surg 187 189–93 Occurrence Handle629620 Occurrence Handle1:STN:280:CSeC383psFU%3D

    PubMed  CAS  Google Scholar 

  3. DG Begos A Sandor IM Modlin (1997) ArticleTitleThe diagnosis and management of adult intussusception Am J Surg 173 88–94 Occurrence Handle9074370 Occurrence Handle10.1016/S0002-9610(96)00419-9 Occurrence Handle1:STN:280:ByiB38fivFY%3D

    Article  PubMed  CAS  Google Scholar 

  4. T Azar DL Berger (1997) ArticleTitleAdult intussusception Ann Surg 226 134–8 Occurrence Handle9296505 Occurrence Handle10.1097/00000658-199708000-00003 Occurrence Handle1:STN:280:ByiH2c7gs1M%3D

    Article  PubMed  CAS  Google Scholar 

  5. J Bar-Ziv A Solomon (1991) ArticleTitleComputed tomography in adult intussusception Gastrointest Radiol 16 264–6 Occurrence Handle1879648 Occurrence Handle10.1007/BF01887362 Occurrence Handle1:STN:280:By6A2cfksFY%3D

    Article  PubMed  CAS  Google Scholar 

  6. B Iko J Teal SM Siram CE Chinwuba VJ Roux VF Scott (1984) ArticleTitleComputed tomography of adult colonic intussusception: clinical and experimental studies Am J Roentgenol 143 769–72 Occurrence Handle1:STN:280:BiuA3cznsFQ%3D

    CAS  Google Scholar 

  7. G Montali F Croce L De Pra L Solibiati (1983) ArticleTitleIntussusception of the bowel: a new sonographic pattern Br J Radiol 56 621–3 Occurrence Handle6883029 Occurrence Handle1:STN:280:BiyB1cvgsFE%3D

    PubMed  CAS  Google Scholar 

  8. N Desai MG Wayne PJ Taub MA Levitt R Spiegel AU Kim (1999) ArticleTitleIntussusception in adults Mt Sinai J Med 66 336–40 Occurrence Handle10618736 Occurrence Handle1:STN:280:DC%2BD3c%2FoslWksw%3D%3D

    PubMed  CAS  Google Scholar 

  9. LC Pang (1989) ArticleTitleIntussusception revisited: clinicopathological analysis of 261 cases, with emphasis of pathogenesis South Med J 82 215–28 Occurrence Handle2916150 Occurrence Handle1:STN:280:BiaC3s%2FisFY%3D

    PubMed  CAS  Google Scholar 

  10. DM Nagorney MG Sarr DC Mcilrath (1981) ArticleTitleSurgical management of intussusception in the adult Ann Surg 193 230–6 Occurrence Handle7469558 Occurrence Handle1:STN:280:Bi6C3s3ks1Q%3D

    PubMed  CAS  Google Scholar 

  11. PA Thomason LS Peterson RJ Staniunas (1991) ArticleTitleSolitary colonic metastasis from renal-cell carcinoma 17 years after nephrectomy Dis Colon Rectum 34 709–12 Occurrence Handle1855429 Occurrence Handle10.1007/BF02050356 Occurrence Handle1:STN:280:By6A3cbks1I%3D

    Article  PubMed  CAS  Google Scholar 

  12. SJ Smith HC Carlson JJ Gisvoid (1977) ArticleTitleSecondary neoplasms of the small bowel Radiology 125 29–33 Occurrence Handle897183 Occurrence Handle1:STN:280:CSiB2MjovVQ%3D

    PubMed  CAS  Google Scholar 

  13. CA DeCastro MB Dockerty CW Mayo (1957) ArticleTitleMetastatic tumors of the small intestines Surg Gynecol Obstet 105 159–65 Occurrence Handle1:STN:280:CyiC3c3hslc%3D

    CAS  Google Scholar 

  14. H Saitoh M Nakayama K Nakamura T Satoh (1982) ArticleTitleDistant metastasis of renal adenocarcinoma in nephrectomized cases J Urol 127 1092–5 Occurrence Handle7087014 Occurrence Handle1:STN:280:Bi2B3Mjht1Q%3D

    PubMed  CAS  Google Scholar 

  15. H Nozawa M Tsuchiya T Kobayashi H Morita I Kobayashi M Sakaguchi et al. (2003) ArticleTitleSmall intestinal metastasis from renal cell carcinoma exhibiting rare findings Int J Clin Pract 57 329–31 Occurrence Handle12800466 Occurrence Handle1:STN:280:DC%2BD3s3nsVCgtQ%3D%3D

    PubMed  CAS  Google Scholar 

  16. WA Johnson FH Straus (1952) ArticleTitleIntussusception of the small intestine produced by metastatic renal carcinoma Surgery 32 991–6 Occurrence Handle13005328 Occurrence Handle1:STN:280:CyyD38botVQ%3D

    PubMed  CAS  Google Scholar 

  17. IG Haynes RL Wolverson JM O'Brien (1986) ArticleTitleSmall bowel intussusception due to metastatic renal carcinoma Br J Urol 58 460 Occurrence Handle3756421 Occurrence Handle1:STN:280:BiiD3c7htFQ%3D

    PubMed  CAS  Google Scholar 

  18. AB Khan (1991) ArticleTitleIleocaecal intussusception due to metastatic renal carcinoma Br J Urol 67 657 Occurrence Handle2070218 Occurrence Handle1:STN:280:By6A3c%2Fis1w%3D Occurrence Handle10.1111/j.1464-410X.1991.tb15238.x

    Article  PubMed  CAS  Google Scholar 

  19. R Deguchi A Takagi M Igarashi T Shirai T Shiba S Watanabe et al. (2000) ArticleTitleA case of ileocolic intussusception from renal cell carcinoma Endoscopy 32 658–60 Occurrence Handle10935799 Occurrence Handle10.1055/s-2000-4661 Occurrence Handle1:STN:280:DC%2BD3M%2Fot1alsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  20. C Savoye-Collet D Thoumas F Dunet E Lemercier M Benozio JN Dacher (2001) ArticleTitleCT diagnosed jejunal intussusception revealing metastatic renal cell carcinoma JBR-BTR 84 153–4 Occurrence Handle11688728 Occurrence Handle1:STN:280:DC%2BD3Mnjs1Whtw%3D%3D

    PubMed  CAS  Google Scholar 

  21. LK Eisen JD Cunningham AH Aufses SuffixJr (1999) ArticleTitleIntussusception in adults: institutional review J Am Coll Surg 188 390–5 Occurrence Handle10195723 Occurrence Handle10.1016/S1072-7515(98)00331-7 Occurrence Handle1:STN:280:DyaK1M3htVSqug%3D%3D

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Miyoshi Central Hospital, 531 Higashisakeyamachi, Miyoshi, Hiroshima, 728-8502, Japan

    Masaru Sasaki

  2. Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan

    Yoshiaki Murakami, Yoshio Takesue, Yujiro Yokoyama, Masahiko Morifuji, Yasuo Hayashidani, Mohei Koyama & Taijiro Sueda

Authors
  1. Masaru Sasaki
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  2. Yoshiaki Murakami
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  3. Yoshio Takesue
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  4. Yujiro Yokoyama
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  5. Masahiko Morifuji
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  6. Yasuo Hayashidani
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  7. Mohei Koyama
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  8. Taijiro Sueda
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Sasaki, M., Murakami, Y., Takesue, Y. et al. Double Intussusceptions in the Small Intestine Caused by Metastatic Renal Cell Carcinoma: Report of a Case. Surg Today 36, 85–88 (2006). https://doi.org/10.1007/s00595-005-3093-5

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  • DOI: https://doi.org/10.1007/s00595-005-3093-5

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