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Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena
Renal cell carcinoma (RCC) most commonly metastasizes to the lungs, and it is uncommon for RCC to metastasize to the small bowel. Small bowel metastasis commonly presents with gastrointestinal (GI) bleeding. In rare cases, a metastatic small bowel mass can serve as a lead point for intussusception....
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840379/ https://www.ncbi.nlm.nih.gov/pubmed/36654622 http://dx.doi.org/10.7759/cureus.32554 |
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author | Elmusa, Emad Raza, Muhammad Waleed Hamza, Ameer Khokhar, Hassan Tahir Butt, Mujtaba |
author_facet | Elmusa, Emad Raza, Muhammad Waleed Hamza, Ameer Khokhar, Hassan Tahir Butt, Mujtaba |
author_sort | Elmusa, Emad |
collection | PubMed |
description | Renal cell carcinoma (RCC) most commonly metastasizes to the lungs, and it is uncommon for RCC to metastasize to the small bowel. Small bowel metastasis commonly presents with gastrointestinal (GI) bleeding. In rare cases, a metastatic small bowel mass can serve as a lead point for intussusception. In this report, we present the case of a male patient whose chief complaint was melena. The patient denied any abdominal pain or nausea. Investigation with push enteroscopy revealed a jejunal mass, and further evaluation with CT showed small bowel intussusception. The patient subsequently underwent small bowel resection and anastomosis. Histopathology confirmed that the jejunal mass was metastatic RCC. We present this case in order to showcase the utility of push enteroscopy in the diagnosis of small bowel metastasis in RCC. |
format | Online Article Text |
id | pubmed-9840379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-98403792023-01-17 Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena Elmusa, Emad Raza, Muhammad Waleed Hamza, Ameer Khokhar, Hassan Tahir Butt, Mujtaba Cureus Radiology Renal cell carcinoma (RCC) most commonly metastasizes to the lungs, and it is uncommon for RCC to metastasize to the small bowel. Small bowel metastasis commonly presents with gastrointestinal (GI) bleeding. In rare cases, a metastatic small bowel mass can serve as a lead point for intussusception. In this report, we present the case of a male patient whose chief complaint was melena. The patient denied any abdominal pain or nausea. Investigation with push enteroscopy revealed a jejunal mass, and further evaluation with CT showed small bowel intussusception. The patient subsequently underwent small bowel resection and anastomosis. Histopathology confirmed that the jejunal mass was metastatic RCC. We present this case in order to showcase the utility of push enteroscopy in the diagnosis of small bowel metastasis in RCC. Cureus 2022-12-15 /pmc/articles/PMC9840379/ /pubmed/36654622 http://dx.doi.org/10.7759/cureus.32554 Text en Copyright © 2022, Elmusa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Radiology Elmusa, Emad Raza, Muhammad Waleed Hamza, Ameer Khokhar, Hassan Tahir Butt, Mujtaba Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title | Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title_full | Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title_fullStr | Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title_full_unstemmed | Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title_short | Metastatic Jejunal Renal Cell Carcinoma Intussusception Presenting as Melena |
title_sort | metastatic jejunal renal cell carcinoma intussusception presenting as melena |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840379/ https://www.ncbi.nlm.nih.gov/pubmed/36654622 http://dx.doi.org/10.7759/cureus.32554 |
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