Multiple intussusceptions revealing metastases from renal carcinoma to the small intestine

Aïssa, A.; Kherifech, M.; Alouini, R.; Hajji, H.; Stita, Wided

doi:10.1016/j.jviscsurg.2012.03.011

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…Very few cases of multiple intussusception caused by RCC metastases have been reported [ 7 – 10 ]. Some authors suspect, however, that many cases may have been overlooked in the context of terminal disease [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma

Budmiger

Nagy

Hürlimann

et al. 2015

Journal of Surgical Case Reports

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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.

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Section: Discussionmentioning

confidence: 99%

Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma

Budmiger

Nagy

Hürlimann

et al. 2015

Journal of Surgical Case Reports

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“…It is known that approximately 69% of canine carcinomas of the kidney metastasize to other organs via the lymphatic or blood vessels [20]. Though RCC does not have a propensity for gastrointestinal metastasis, there are several reports of its metastasis to the gastrointestinal tracts in humans [21,22].Third, apart from physical compression or embolus formation from metastasis, RCCs may attribute to the incidence of IL, which is associated with either the functional alteration of kidney or pathological conditions due to the RCC itself. Albeit uncommon, it has been reported that RCC can be associated to gastrointestinal diseases [23].…”

Section: Discussionmentioning

confidence: 99%

Canine Intestinal Lymphangiectasia Concomitant with Renal Cell Carcinoma

2021

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The etiology of dilation of lymphatic vessels, termed as intestinal lymphangiectasia, remains unknown. In most cases, it occurs secondary to other pathologic conditions such as gastrointestinal neoplasms. However, only a few cases of canine intestinal lymphangiectasia concurrent with non-gastrointestinal neoplasms have been reported so far. Moreover, the correlation between intestinal lymphangiectasia and non-gastrointestinal neoplasms has not been discussed in any other literature. In this study, we report a rare case of intestinal lymphangiectasia concomitant with renal cell carcinoma in an 11 year old female mixed Maltese, suggesting that non-gastrointestinal neoplasms could be associated with the development of intestinal lymphangiectasia. On gross observation, the small intestine was irregularly swollen presenting an accordion like shape. Microscopic examination revealed prominent dilatation of the lymphatic vessels, especially, within the submucosa and muscularis layer. The lacteals within the villi were dilated and presented “club-shaped” tips. The carcinoma might trigger intestinal lymphangiectasia by compressing the main lymphatic vessels or the cisterna chyli, subsequently increasing the pressure of the lymphatic vessels in the gastrointestinal tract. Moreover, metastasis of the carcinoma to the gastrointestinal tract could induce intestinal lymphangiectasia. Thus, the occurrence of intestinal lymphangiectasia must be considered when an abdominal neoplasm is located around major lymphatic vessels.

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“…Most of gastro-intestinal lymphomas cause circumferential involvement of the bowel wall [34]. Metastatic tumors of SB (Figures 5(c) and 5(d)) as well as benign tumors are sporadically visualised by TUS due to intussusception caused by these tumors [35]. …”

Section: Tus In Detection Of Small Bowel Tumorsmentioning

confidence: 99%

“…In adult population are intussusceptions sporadically incidentally seen during abdominal TUS, or in SB inflammations, celiac disease, tumors of SB. Frequently are self-limiting, idiopathic or related to celiac or Crohn's disease, in about 25% are asymptomatic [41], however some can hide benign or malignant or metastatic tumors [35, 42]. Other imaging methods (CT, MRI) are indicated in suspicion of tumour(s).…”

Section: Tus In Intussusception Of Small Bowelmentioning

confidence: 99%

Transabdominal Ultrasonography of the Small Bowel

Kralik¹,

Trnovsky²,

Kopáčová

2013

Gastroenterology Research and Practice

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In the era of double balloon enteroscopy, capsule endoscopy, CT, and MRI enterography is transabdominal ultrasonography (TUS) underestimated method for evaluation of small bowel pathology. As often initial imagine method in abdominal complaints, nowadays has TUS much better diagnostic potential than two decades ago. High-resolution ultrasound probes with harmonic imaging significantly improve resolution of bowel wall in real time, with possibility to asses bowel peristalsis. Color flow doppler enables evaluation of intramural bowel vascularisation, pulse wave doppler helps to quantificate flow in coeliac and superior mesenteric arteries. Small intestine contrast ultrasonography with oral contrast fluid, as well as contrast enhanced ultrasonography with intravenous microbubble contrast also improves small bowel imaging. We present a review of small intestine pathology that should be detected during ultrasound examinations, discuss technical requirements, advantages and limitations of TUS, typical ultrasound signs of Crohn's disease, ileus, celiac disease, intussusception, infectious enteritis, tumours, ischemic and haemorrhagic conditions of small bowel. In the hands of experienced investigator, despite some significant limitations(obesity, meteorism), is transabdominal ultrasonography reliable, noninvasive and inexpensive alternative method to computerised tomography (CT) and magnetic resonance imaging (MRI) in small bowel examination.

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Multiple intussusceptions revealing metastases from renal carcinoma to the small intestine

Cited by 6 publications

References 4 publications

Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma

Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma

Canine Intestinal Lymphangiectasia Concomitant with Renal Cell Carcinoma

Transabdominal Ultrasonography of the Small Bowel

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