The Teaching Point

CT plays a key role in the diagnosis and accurate localization of adult intussusceptions with bowel within bowel appearance and associated invagination of the mesenteric fat and vessels being reliable findings on CT. Detection or exclusion of an associated lead point on CT helps confidently determine need for surgical intervention. The presence of an enhancing mass associated with a small bowel intussusception makes metastases a highly likely possibility. Presence of another mass of similar density and enhancement pattern can indicate the primary malignancy.






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From the manuscript

Renal Cell Carcinoma presenting as small bowel obstruction secondary to a metastatic ileal intussusception

Free full text article: Renal Cell Carcinoma presenting as small bowel obstruction secondary to a metastatic ileal intussusception

Abstract
We report a rare clinical presentation of renal cell carcinoma in the form of small bowel obstruction which was secondary to a metastatic ileal intussusception. Intussusception in the elderly is most commonly due to an underlying neoplasm, however metastases from a renal cell carcinoma is very uncommon. We present clinical details, radiological and pathological findings of the case followed by a discussion of the diagnosis and management of intussusception in the adult population.






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1. Renal cell carcinoma

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