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Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma
We report on a 61-year-old man who was referred to the accident and emergency department with recurrent episodes of vomiting and diffuse abdominal pain for 1 week prior to admission. The patient also reported frequent constipation and intermittent melaena. He had undergone tumour nephrectomy for met...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4400532/ https://www.ncbi.nlm.nih.gov/pubmed/25887169 http://dx.doi.org/10.1093/jscr/rjv047 |
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author | Massy Budmiger, Anne-Sophie Nagy, Veronika Hürlimann, Sandra Metzger, Jürg |
author_facet | Massy Budmiger, Anne-Sophie Nagy, Veronika Hürlimann, Sandra Metzger, Jürg |
author_sort | Massy Budmiger, Anne-Sophie |
collection | PubMed |
description | We report on a 61-year-old man who was referred to the accident and emergency department with recurrent episodes of vomiting and diffuse abdominal pain for 1 week prior to admission. The patient also reported frequent constipation and intermittent melaena. He had undergone tumour nephrectomy for metastatic renal clear cell carcinoma 3 years before and had received sequential vascular endothelial growth factor receptor and mammalian target of rapamycin-targeted therapies. The abdominal computed tomography scan showed small bowel obstruction due to triple intussusception of the proximal jejunum and several large intra-luminal tumour masses. Intra-operative findings were five intramural masses 15 cm distal to the ligament of Treitz over a total length of 50 cm. A primary en bloc resection with an end-to-end anastomosis was carried out. The postoperative course was uneventful. |
format | Online Article Text |
id | pubmed-4400532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-44005322015-06-26 Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma Massy Budmiger, Anne-Sophie Nagy, Veronika Hürlimann, Sandra Metzger, Jürg J Surg Case Rep Case Reports We report on a 61-year-old man who was referred to the accident and emergency department with recurrent episodes of vomiting and diffuse abdominal pain for 1 week prior to admission. The patient also reported frequent constipation and intermittent melaena. He had undergone tumour nephrectomy for metastatic renal clear cell carcinoma 3 years before and had received sequential vascular endothelial growth factor receptor and mammalian target of rapamycin-targeted therapies. The abdominal computed tomography scan showed small bowel obstruction due to triple intussusception of the proximal jejunum and several large intra-luminal tumour masses. Intra-operative findings were five intramural masses 15 cm distal to the ligament of Treitz over a total length of 50 cm. A primary en bloc resection with an end-to-end anastomosis was carried out. The postoperative course was uneventful. Oxford University Press 2015-04-17 /pmc/articles/PMC4400532/ /pubmed/25887169 http://dx.doi.org/10.1093/jscr/rjv047 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Reports Massy Budmiger, Anne-Sophie Nagy, Veronika Hürlimann, Sandra Metzger, Jürg Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title | Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title_full | Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title_fullStr | Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title_full_unstemmed | Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title_short | Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
title_sort | triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4400532/ https://www.ncbi.nlm.nih.gov/pubmed/25887169 http://dx.doi.org/10.1093/jscr/rjv047 |
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