scholarly journals A Rare Cause of Upper Gastrointestinal System Bleeding: Duodenal Metastasis of Renal Cell Carcinoma

Author(s):  
Muhammet Yener AKPINAR ◽  
Metin UZMAN ◽  
Gülçin GÜLER ŞIMŞEK ◽  
Evrim KAHRAMANOĞLU AKSOY ◽  
Ferdane PIRINÇÇI SAPMAZ ◽  
...  
2020 ◽  
Vol 13 (2) ◽  
pp. 738-741
Author(s):  
Niamh Peters ◽  
Clara Lightner ◽  
John McCaffrey

Approximately 340 patients are diagnosed with renal cell cancer (RCC) in Ireland each year. Metastatic spread to the lung, lymph nodes and bones is common. Metastatic spread to the gastrointestinal tract, including the small bowel, is a rare phenomenon. Therapeutic advances have led to an improved overall survival in RCC and, as a result, unusual sites of metastatic spread are becoming more common. We present the case of a 68-year-old gentleman presenting with upper gastrointestinal bleeding as a result of metastases to the duodenum from renal cell carcinoma.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Vamshidhar R. Vootla ◽  
Muhammad Kashif ◽  
Masooma Niazi ◽  
Suresh K. Nayudu

Renal cell carcinoma (RCC) has potential to present with distant metastasis several years after complete resection. The common sites of metastases include the lungs, bones, liver, renal fossa, and brain. RCCs metastasize rarely to the duodenum, and duodenal metastasis presenting with acute gastrointestinal bleed is infrequently reported in literature. We present a case of synchronous presentation of duodenal and azygoesophageal metastasis manifesting as acute upper gastrointestinal bleeding, four years after undergoing nephrectomy for RCC. The patient underwent further workup and was treated with radiation. The synchronous presentation is rare and stresses the importance of searching for recurrence of RCC in patients presenting with acute gastrointestinal bleeding.


1998 ◽  
Vol 12 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Rhonda M Janzen ◽  
Alnoor S Ramj ◽  
Julia DA Flint ◽  
Charles H Scudamore ◽  
Eric M Yoshida

Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.


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