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Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma.

Massy Budmiger AS, Nagy V, Hürlimann S, Metzger J - J Surg Case Rep (2015)

Bottom Line: 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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Visceral Surgery, Hospital of Lucerne, Lucerne, Switzerland anne-sophie.massybudmiger@luks.ch.

No MeSH data available.


Related in: MedlinePlus

Resected small bowel showing three distinct levels of jejuno-jejunal invagination.
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RJV047F2: Resected small bowel showing three distinct levels of jejuno-jejunal invagination.

Mentions: At A&E, explorative laparotomy showed the proximal small bowel was grossly distended and three distinct levels of intussusception were seen ∼15 cm distal to the ligament of Treitz (Fig. 2). Using digital examination, several hard tumour masses were located and palpated within 50 cm of the intussusception. Segmental resection of the proximal jejunum with an end-to-end anastomosis was performed. The histological examination revealed five haemorrhagic, polypoid, stalked masses with a maximum diameter of 4.5 cm and florid ulceration of the overlying mucosa (Fig. 3). Regional lymph nodes and resection margins were clear. The intra- and postoperative courses were uneventful and the patient was discharged from hospital 1 week later. Dyspnoea and anaemia resolved, and treatment with sorafenib was resumed.Figure 2:


Triple jejuno-jejunal intussusception due to metastatic renal cell carcinoma.

Massy Budmiger AS, Nagy V, Hürlimann S, Metzger J - J Surg Case Rep (2015)

Resected small bowel showing three distinct levels of jejuno-jejunal invagination.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400532&req=5

RJV047F2: Resected small bowel showing three distinct levels of jejuno-jejunal invagination.
Mentions: At A&E, explorative laparotomy showed the proximal small bowel was grossly distended and three distinct levels of intussusception were seen ∼15 cm distal to the ligament of Treitz (Fig. 2). Using digital examination, several hard tumour masses were located and palpated within 50 cm of the intussusception. Segmental resection of the proximal jejunum with an end-to-end anastomosis was performed. The histological examination revealed five haemorrhagic, polypoid, stalked masses with a maximum diameter of 4.5 cm and florid ulceration of the overlying mucosa (Fig. 3). Regional lymph nodes and resection margins were clear. The intra- and postoperative courses were uneventful and the patient was discharged from hospital 1 week later. Dyspnoea and anaemia resolved, and treatment with sorafenib was resumed.Figure 2:

Bottom Line: 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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Visceral Surgery, Hospital of Lucerne, Lucerne, Switzerland anne-sophie.massybudmiger@luks.ch.

No MeSH data available.


Related in: MedlinePlus