Table of Contents
ISRN Urology
Volume 2011, Article ID 707154, 5 pages
http://dx.doi.org/10.5402/2011/707154
Case Report

Extraluminal Colonic Carcinoma Invading into Kidney: A Case Report and Review of the Literature

1Department of Urology, Texas Tech University Health Sciences Center, Lubbock, TX 79430-7260, USA
2Department of Microbiology and Immunology, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA

Received 28 January 2011; Accepted 6 March 2011

Academic Editors: B. Delahunt and Q. D. Trinh

Copyright © 2011 J. Nelson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Renal metastasis from primary colon cancer is very rare, comprising less than 3% of secondary renal neoplasms. There are just 11 cases reported in the medical literature of colonic adenocarcinoma metastatic to the kidney. Of these cases, none occurred via direct invasion. We report a unique case of a 51-year-old female with extraluminal colonic adenocarcinoma which directly invaded into the kidney. Additionally, we investigate the causal relationship between the site of invasion and a previous stab injury by reviewing the role of the peritoneum and Gerota's fascia in preventing the spread of metastatic cancer into the perirenal space. Due to the rarity of this event, we present this case including a review of the existing literature relative to the diagnosis and treatment.