Ekbote Gajanan R, Rajpal Lalit B, Makam Shrikant D
J Indian Med Assoc. 2014 Jan;112(1):56, 61.
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.
肾细胞癌继发肠转移导致肠套叠是一种非常罕见的情况。本文报道了一例52岁男性患者，其表现出小肠梗阻的症状和体征。腹部CT显示因回肠-回肠套叠和左肾肿块导致小肠梗阻。在剖腹探查术中发现存在回肠-回肠套叠。在同一次手术中对左肾进行了细针穿刺抽吸活检。切除标本的组织学检查报告显示小肠有肾细胞癌转移结节。细针穿刺抽吸活检证实左肾原发性肾细胞癌。虽然腹部CT扫描提供了最可靠的指征，但确立肠套叠诊断的是剖腹探查术，而确定病因的是组织学检查。
