RESUMO
Metastatic tumors to the gastrointestinal tract are rare; the stomach and small bowel are the most common organs involved. Lung cancer, renal cell carcinoma, breast carcinoma, and malignant melanoma are the most common primary tumors metastatic to the duodenum. We report a metastasis to the duodenum from an adenocarcinoma of the cecum presenting as a duodenal obstruction 4.5 yr after the surgical resection of the primary tumor. The condition of the patient was temporarily controlled with the implantation of an endoduodenal metallic prosthesis as a palliative measure.
Assuntos
Adenocarcinoma/secundário , Neoplasias do Ceco/patologia , Neoplasias Duodenais/secundário , Obstrução Duodenal/etiologia , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Idoso , Idoso de 80 Anos ou mais , Neoplasias do Ceco/cirurgia , Obstrução Duodenal/terapia , Desenho de Equipamento , Evolução Fatal , Feminino , Seguimentos , Humanos , Metais , Cuidados Paliativos , StentsRESUMO
Endourological techniques allow one to postpone a second, planned intervention--urinary diversion to the intestine--in radical cystectomies with a high surgical risk. PTU consists in introducing one nephrostomy tube percutaneously through one kidney and replacing it by the definitive drainage tube during the surgical procedure after suturing both ureters together.
