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Published on: October 30, 2013
Small bowel intussusception due to metastatic bladder carcinoma
Seema Singh1, Rakesh Ranjan1, Naveen Sharma1
1Department of Surgery, University College of Medical Sciences and GTB Hospital, New Delhi, India.
Urinary bladder cancer rarely spreads to the small bowel, and even more rarely causes intussusception. This case highlights an extremely uncommon presentation of bladder cancer metastasis.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Urinary bladder carcinoma commonly metastasizes to lymph nodes, bone, lung, liver, and peritoneum.
- Metastasis to the small bowel from bladder cancer is exceptionally rare.
- Small bowel metastasis is more frequently associated with breast, lung, or melanoma primaries.
Observation:
- A case of adult small bowel intussusception was observed.
- The intussusception was found to be caused by metastasis from a urinary bladder carcinoma.
- This represents an extremely rare clinical presentation.
Findings:
- Confirmed metastasis from urinary bladder carcinoma as the cause of small bowel intussusception.
- Documented a rare instance of gastrointestinal metastasis from a genitourinary malignancy.
- Highlighted the unusual etiology of intussusception in this patient.
Implications:
- This case underscores the importance of considering unusual metastatic pathways for urinary bladder carcinoma.
- It expands the differential diagnosis for small bowel intussusception in adults.
- Further emphasizes the diverse and sometimes unexpected behavior of advanced cancer metastasis.
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