医学
马莲娜
肾切除术
肾细胞癌
剖腹手术
转移
剖腹探查术
回肠
腹腔镜检查
腹痛
普通外科
放射科
肾
胃肠病学
外科
内科学
癌症
作者
David Toro Tole,J. Bowden,Sheshang Kamath,Manmeet Kaur,Domenic LaPaglia
出处
期刊:Cureus
[Cureus, Inc.]
日期:2024-01-29
摘要
Renal cell carcinoma (RCC) most commonly metastasizes to the lung, lymph nodes, bone, and liver. RCC metastasizing to the small bowel is exceedingly rare (0.7%), and the ileum is the least likely site. We discuss the case of a 63-year-old male patient who presented with melena and a 10-kg unintentional weight loss in the preceding month 10 years after undergoing curative nephrectomy for RCC; he was found to have an ileal mass on CT imaging. He subsequently underwent a diagnostic gastroscopy and laparoscopy, later converted to a laparotomy, with bowel resection and anastomosis. The immunohistochemistry was consistent with RCC. This case report highlights the need for awareness about this rare but potential site of metastasis, which may present with gastrointestinal bleeding.
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