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Case Report
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| Sarcomatoid bladder carcinoma: A rare metastatic disease of small bowel | ||||||
| Tafadzwa Makarawo1, Joshua Phillips2, Jonathon Eaton2, George Kondratowicz2 | ||||||
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1Department of Surgery, Providence Hospital, 16001 W Nine Mile Road, Southfield, Michigan, United States.
2Department of Urology, Alexandra Hospital, Woodrow Drive, Redditch, B98 7UB. | ||||||
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| How to cite this article: |
| Makarawo T, Phillips J, Eaton J, Kondratowicz G. Sarcomatoid bladder carcinoma: A rare metastatic disease of small bowel. International Journal of Case Reports and Images 2012;3(12):16–19. |
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Abstract
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Introduction:
Small bowel obstruction secondary to metastatic disease is a rare presentation with most current evidence being limited to case reports. Previous evidence described breast, lung and melanoma as the most common underlying primaries presenting with this entity. Bladder carcinoma rarely metastasizes to the gastrointestinal tract, and if present, does not typically cause small bowel obstruction.
Case Report: A 62-year-old female with a history of sarcomatoid bladder carcinoma that had been managed initially by transurethral endoscopic resections and subsequently by a radical cystectomy presented a year later with small bowel obstruction. Extensive work-up for the source of the obstruction was inconclusive and after failed conservative management, the patient underwent an exploratory laparotomy. At laparotomy, she was found to have a small bowel intussusception secondary to a tumor. The small bowel resection specimen was later identified as a sarcomatoid carcinoma, resembling the previously resected bladder tumor. Conclusion: We present a rare case of a patient presenting with small bowel obstruction secondary to metastatic disease from a variant of bladder cancer–the sarcomatoid bladder carcinoma. | |
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Keywords:
Metastatic bladder carcinoma, Bowel obstruction
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Author Contributions
Tafadzwa Makarawo – Substantial contributions to conception and design, acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Joshua Phillips – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Jonathon Eaton – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published George Kondratowicz – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Tafadzwa Makarawo et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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