{"id":6333,"date":"2025-12-02T11:55:59","date_gmt":"2025-12-02T14:55:59","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=6333"},"modified":"2025-12-02T11:55:59","modified_gmt":"2025-12-02T14:55:59","slug":"rare-occurrence-of-small-bowel-intussusception-due-to-synchronous-metastasis-of-renal-cell-carcinoma","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/rare-occurrence-of-small-bowel-intussusception-due-to-synchronous-metastasis-of-renal-cell-carcinoma\/","title":{"rendered":"Rare occurrence of small bowel intussusception due to synchronous metastasis of renal cell carcinoma\u200b"},"content":{"rendered":"<h2><strong>Background:<\/strong><\/h2>\n<p>Renal carcinoma is the third most common urological cancer, with 30% of patients presenting with metastases at diagnosis. Metastases to the small intestine are rare (0.7\u20131.1%), and their presentation as intestinal intussusception is even more uncommon, with only a few cases reported in the literature.<\/p>\n<h2><strong>Aims:<\/strong><\/h2>\n<p>The aim of the study was to present a case of stage IV clear cell renal carcinoma with a rare presentation of intestinal intussusception, leading to emergency department admission due to severe anemia and melena.<\/p>\n<h2><strong>Methods:<\/strong><\/h2>\n<p>A 62-year-old man presented with melena for 2 months and a critically low hemoglobin level of 2.9 g\/dL (normal range: 13.5\u201317.5 g\/dL). Abdominal and pelvic angiotomography identified an exophytic lesion in the left kidney consistent with renal carcinoma and an approximately 16 cm ileal intussusception.<\/p>\n<h2><strong>Results:<\/strong><\/h2>\n<p>Exploratory laparotomy revealed intestinal intussusception and a 4 cm lesion on the antimesenteric border, suspected to be a tumor. A segmental resection with primary anastomosis was performed, resulting in a favorable postoperative recovery. Histopathological and immunohistochemical analyses confirmed poorly differentiated metastatic clear cell renal carcinoma.<\/p>\n<h2><strong>Conclusions:<\/strong><\/h2>\n<p>This report underscores the need to consider gastrointestinal symptoms in patients with renal carcinoma, as an intestinal metastasis, although rare, is a potential complication. Synchronous metastases are even rarer and present a significant diagnostic challenge.<\/p>","protected":false},"excerpt":{"rendered":"<p>Background: Renal carcinoma is the third most common urological cancer, with 30% of patients presenting with metastases at diagnosis. Metastases to the small intestine are rare (0.7\u20131.1%), and their presentation as intestinal intussusception is even more uncommon, with only a few cases reported in the literature. Aims: The aim of the study was to present [&hellip;]<\/p>","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[318,354,797,1485],"class_list":["post-6333","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-carcinoma","tag-intestinal-obstruction","tag-intussusception","tag-renal-cell"],"acf":[],"modified_by":"Rodrigo","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=6333"}],"version-history":[{"count":2,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6333\/revisions"}],"predecessor-version":[{"id":6336,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6333\/revisions\/6336"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=6333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=6333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=6333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}