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首页> 外文期刊>Journal of Surgical Case Reports >Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma
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Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma

机译：转移性肾细胞癌引起的三重空肠空肠套叠

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摘要

We report on a 61-year-old man who was referred to the accident and emergency department with recurrent episodes of vomiting and diffuse abdominal pain for 1 week prior to admission. The patient also reported frequent constipation and intermittent melaena. He had undergone tumour nephrectomy for metastatic renal clear cell carcinoma 3 years before and had received sequential vascular endothelial growth factor receptor and mammalian target of rapamycin-targeted therapies. The abdominal computed tomography scan showed small bowel obstruction due to triple intussusception of the proximal jejunum and several large intra-luminal tumour masses. Intra-operative findings were five intramural masses 15 cm distal to the ligament of Treitz over a total length of 50 cm. A primary en bloc resection with an end-to-end anastomosis was carried out. The postoperative course was uneventful.
机译：我们报道了一名61岁的男子，他在入院前1周因呕吐和弥漫性腹痛反复发作被转诊至急诊科。该患者还报告了频繁的便秘和间歇性黑斑病。他在3年前因转移性肾透明细胞癌接受了肿瘤肾切除术，并接受了序贯的血管内皮生长因子受体和雷帕霉素靶向疗法的哺乳动物靶向治疗。腹部计算机断层扫描显示，由于近端空肠三次肠套叠和几个较大的腔内肿瘤肿块，肠梗阻较小。术中发现在Treitz韧带远端15厘米处的五个壁内肿物，总长度为50厘米。进行了一次完整的端到端吻合术。术后过程很顺利。

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