Volume 26, Issue 121, March 2022

Ectopic kidney urothelial carcinoma with lower rectum adenocarcinoma: A case report

Hamdan S Alaamri¹, Fawaz Al Thobaiti¹, Mohammad Al Adwani¹, Hamma A Abdelaziz¹, Amjad Ahmed Althagafi¹, Faisal S Alrubaei², Sara A Assiri³, Raad M M Althaqafi^2♦

¹Surgery department, Alhada Military Hospital, Taif, Saudi Arabia
²College of Medicine, Taif University, Taif, Saudi Arabia
³Otolaryngology-Head and Neck Surgery Department, King Faisal Hospital, Taif, Saudi Arabia

^♦Corresponding author
College of Medicine, Taif University, Taif, Saudi Arabia

ABSTRACT

Bladder cancer (BC), one of the urothelial carcinoma (UC) and colorectal cancer (CRC) are Lynch syndrome’s manifestations. In this case report, a 56 years old woman was admitted to ER with intermittent, progressive and colicky abdominal pain for 6 months associated with a change in bowel habit and bleeding per rectum, anorexia and weight loss. Rectal examination revealed a nodular, easy to bleed mass from anal verge. MRI revealed left ectopic pelvic kidney with soft tissue enhancing lesion in the lower calyx. Patient was underwent low anterior resection and left nephrectomy after which she was decided to complete on adjuvant XRT and chemotherapy. The comorbidity of UC and CRC in this patient in spite of being of low risky group being a non-smoker female has strongly prove the existence of the lynch syndrome and may replace the molecular confirmation. Therefore genetic investigation of all her relatives for presence of causative genetic abnormalities is mandatory, a project we are currently working on to enable proper medical intervention in the proper time.

Keywords: Ectopic kidney, UC, CRC, Woman

Medical Science, 2022, 26, ms87e2112

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DOI: https://doi.org/10.54905/disssi/v26i121/ms87e2112

Published: 02 March 2022