Nabi G, Gandhi G, Dogra P N
All India Institute of Medical Sciences, New Delhi-110 029, India.
Trop Gastroenterol. 2001 Jan-Mar;22(1):47-9.
Two cases of duodenal obstruction secondary to renal cell carcinoma are described. One case had delayed metastasis to duodenum four years after right radical nephrectomy and the second case had a large right renal cell carcinoma with duodenal involvement. The possibility of duodenal involvement or metastasis should be kept in mind in any patient presenting with upper gastrointestinal obstructive symptoms and with right sided renal tumour or radical nephrectomy in the past. Whenever suspected, radiography and if required endoscopic assessment should be supplemented to diagnose this condition. Extensive local disease or presence of concurrent metastasis usually rules out the possibility of cure. We describe the clinico-radiological features of this condition along with a review of the literature.
本文描述了两例继发于肾细胞癌的十二指肠梗阻病例。一例在右肾根治性切除术后四年出现十二指肠延迟转移，另一例为巨大右肾细胞癌侵犯十二指肠。对于任何出现上消化道梗阻症状且既往有右侧肾肿瘤或肾根治性切除术的患者，都应考虑十二指肠受累或转移的可能性。一旦怀疑，应补充进行影像学检查，必要时进行内镜评估以诊断此病。广泛的局部病变或并发转移通常排除了治愈的可能性。我们描述了这种疾病的临床放射学特征，并对相关文献进行了综述。
