title: Synchronous Jejunal Metastasis Presenting as Intussusception in a Case of Advanced RCC: a Rare Presentation.
abstract: 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.
authors.affiliation: Department of Urology, I.P.G.M.E.&R. and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata, 700020 India.
authors.forename: Shwetank
authors.initials: S
authors.lastname: Mishra
authors.affiliation: Department of Urology, I.P.G.M.E.&R. and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata, 700020 India.
authors.forename: Shankar Prasad
authors.initials: SP
authors.lastname: Hazra
authors.affiliation: Department of Urology, I.P.G.M.E.&R. and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata, 700020 India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Priyadarshi
authors.affiliation: Department of Urology, I.P.G.M.E.&R. and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata, 700020 India.
authors.forename: Hemant
authors.initials: H
authors.lastname: Goel
authors.affiliation: Department of Urology, I.P.G.M.E.&R. and S.S.K.M. Hospital, 244, A.J.C. Bose Road, Kolkata, 700020 India.
authors.forename: Dilip Kumar
authors.initials: DK
authors.lastname: Pal
keywords: Intussusception; Renal cell carcinoma; Small intestine; Synchronous metastasis
references.citation: Hinyokika Kiyo. 2005 Jan;51(1):13-6
references.pmid: 15732334
references.citation: Endoscopy. 2000 Aug;32(8):658-60
references.pmid: 10935799
references.citation: Int J Clin Pract. 1997 Jul-Aug;51(5):334-5
references.pmid: 9489100
references.citation: Br J Urol. 1991 Jun;67(6):657-8
references.pmid: 2070218
references.citation: Surgery. 1952 Dec;32(6):991-6
references.pmid: 13005328
references.citation: N Engl J Med. 1952 Feb 14;246(7):250-1
references.pmid: 14890848
references.citation: Br J Urol. 1986 Aug;58(4):460
references.pmid: 3756421