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CC BY-NC-ND 4.0 · Journal of Coloproctology 2023; 43(02): 136-138
DOI: 10.1055/s-0043-1769915
Case Report

Metastatic Clear-Cell Renal Carcinoma: An Exceptional Cause of Ileocolonic Intussusception in Adults

Francisco E. Alvarez-Bautista 
1   Department of Colorectal Surgery, National Institute of Medical Science and Nutrition Salvador Zubiran, México, DF, Mexico
,
Alejandro Hoyos-Torres 
1   Department of Colorectal Surgery, National Institute of Medical Science and Nutrition Salvador Zubiran, México, DF, Mexico
,
Catherine Sarre-Lazcano 
2   Department of General Surgery, National Institute of Medical Science and Nutrition Salvador Zubiran, México, DF, Mexico
,
Juan J. Andrade-Rojas
3   Department of Pathology, National Institute of Medical Science and Nutrition Salvador Zubiran, México, DF, Mexico
,
Noel Salgado-Nesme 
1   Department of Colorectal Surgery, National Institute of Medical Science and Nutrition Salvador Zubiran, México, DF, Mexico
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Funding The authors declare that they have received no financial support pertaining to the publication of the present case report.
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Abstract

Introduction Intussusceptions in adults are rare, representing 1% to 5% of intestinal obstructions in this age group. This condition can be caused by benign and malignant lesions acting as lead points, the latter being the most frequent. Furthermore, the diagnosis is challenging due to the non-specific symptoms with variable duration.

Case Presentation A 43-year-old man, with a history of localized clear-cell renal carcinoma (ccRCC) treated 9 years earlier with a right radical nephrectomy, presented with bowel obstruction symptoms. An abdominal computed tomography scan showed an ileocolonic intussusception. Hence, the patient required a right hemicolectomy with ileotransverse anastomosis. The histopathological analysis showed a metastatic ccRC to the terminal ileum causing the intussusception.

Discussion Adult intussusceptions are rare. However, they should be considered in the differential diagnosis of patients with abdominal pain and symptoms of bowel obstruction. Metastases of renal cancer to the small bowel are uncommon and even more so in the form of intussusception. Definitive treatment must be tailored to the patient's condition and underlying cause.

Keywords

intussusception in adults - renal carcinoma - metastatic-renal cancer

Author Contributions

FEAB, AHT, CSL, and JJAR: designed the work, collected and interpreted the data, and drafted the manuscript. NSN interpreted the data, critically revised the manuscript, and performed overall supervision. All of the authors contributed to the final approval of the manuscript and agreed to be accountable for all aspects related to the accuracy or integrity of the work.


Protection of Human and Animal Subjects

The authors declare that no experiments were performed on humans or animals for the present study.


Confidentiality of Data

The authors declare that they have followed the protocols of their work center on the publication of patient data.


Right to Privacy and Informed Consent

The patient provided informed consent for the publication of the present case report and images.




Publication History

Received: 05 October 2022

Accepted: 19 April 2023

Article published online:
23 June 2023

© 2023. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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