Colonic Metastasis of Renal Cell Carcinoma Two Years After Therapeutic Radical Nephrectomy a Case Report

Background: Renal Cell carcinoma usually presents metastasis at the diagnosis and the most common sites include lung, bones, liver, and brain in decreasing order. Metastasis to the large intestine is very uncommon and few cases are reported in the literature. Case Presentation: We present a case of post nephrectomy renal cell carcinoma who presented to our institution with signs of anemia and on further investigations found to be having metastatic lesions of renal cell carcinoma in the intestine, peritoneum, and abdominal wall. Conclusion: We hypothesize that due to recent advances in the treatment of renal cell carcinoma, the patient's survival rate increased and this leads to atypical presentations of the known diseases. Through this case report, we stress the importance of vigilant evaluation for intestinal metastasis when the patient presents with gastrointestinal bleeding and a history of renal cell carcinoma regardless of the time since nephrectomy.

Small Bowel Obstruction Caused by Small Intestinal Metastasis Secondary to Esophageal Carcinoma

Despite the frequent rapid spread of esophageal cancers to other organs, metastases to the small intestine are uncommon. As such, this paper describes a case of a 60-year-old male who developed a small intestinal obstruction due to metastasis from esophageal carcinoma. This patient had received radical esophagectomy for esophageal carcinoma 14 months prior to the diagnosis. Furthermore, the important role of computed tomography scans played in composing the differential diagnosis will be explored. In order to relieve the obstruction, resection of the small intestine was performed, and the patient survived six months postoperatively.