We report a rare clinical presentation of renal cell carcinoma in the form of small bowel obstruction which was secondary to a metastatic ileal intussusception. Intussusception in the elderly is most commonly due to an underlying neoplasm, however metastases from a renal cell carcinoma is very uncommon. We present clinical details, radiological and pathological findings of the case followed by a discussion of the diagnosis and management of intussusception in the adult population.

There has been an increase in the rate of cesarean section performed worldwide recently with a parallel increase in associated complications. Uterine wound dehiscence and pelvic hematoma with abscess collection is a very rare complication of cesarean section. Frequency of uterine dehiscence is between 0.06% and 3.8 %. 1 Postoperative pyrexia may result from various causes, pelvic abscess being a very rare one, occurring in <1% of patients with postcesarean endometritis. 2 If uterine dehiscence leads to severe infection, laparotomy should be performed. [3][4][5] During laparotomy, conservative resuturing after debridement can be chosen, but in the presence of marked wound infection, endometriosis and/or intra-abdominal abscess, hysterectomy should be considered. A high index of suspicion with appropriate investigations can highlight such problems for early treatment and cure with the least morbidity and mortality.

No abstract

No abstract