肾细胞癌转移致小肠肠套叠一例。

Q4 Medicine Journal of the Indian Medical Association Pub Date : 2014-01-01
Gajanan R Ekbote, Lalit B Rajpal, Shrikant D Makam
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引用次数: 0

摘要

继发于肾细胞癌的肠转移引起肠套叠是非常罕见的情况。本文报告一位52岁男性,表现出小肠梗阻的症状和体征。腹部CT显示回肠肠套叠引起的小肠梗阻及左肾肿块。剖腹探查时发现回肠-回肠肠套叠。同一坐姿左肾FNAC。肾细胞癌切除标本的组织学报告小肠转移结节。FNAC证实原发性左肾肾细胞癌。虽然腹部CT扫描提供了最可靠的指征,但只有剖腹手术才能确定肠套叠的诊断,组织学检查才能确定病因。
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A very rare case of intussusception of small bowel due to metastasis from renal cell carcinoma.

Bowel metastasis secondary to renal cell carcinoma causing intussusception is very rare condition. Here a case of a 52-year-old male, who presented with signs and symptoms of small bowel obstruction is reported. CT abdomen showed small bowel obstruction due to ileo-ileal intussusception and left renal mass. On exploratory laparotomy Ileo-ileal intussusception was present. FNAC taken from left kidney at same sitting. Histology of resected specimen reported metastatic nodule in small bowel of renal cell carcinoma. FNAC confirmed primary renal cell carcinoma of left kidney. Although abdominal CT scanning provides the most reliable indications, it is laparotomy, that establishes the diagnosis of intussusception, and the histological examination that determines the cause.

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期刊介绍: The Journal of the Indian Medical association, popularly known as JIMA, an indexed (in index medicus) monthly journal, has the largest circulation (over 1.75 lakh Copies per month) of all the indexed and other medical journals of India and abroad. This journal is also available in microfilm through Bell & Howels, USA. The founder leaders of this prestigious journal include Late Sir Nilratan Sircar, Dr Bidhan Chandra Roy, Dr Kumud Sankar Ray and other scholars and doyens of the medical profession. It started in the pre-independence era (1930) with only 122 doctors.
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