Metachronous metastatic renal cell carcinoma to the jejunum presenting with massive lower gastrointestinal bleeding
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2017; 27 (4): 254-256
in English
| IMEMR
| ID: emr-189284
ABSTRACT
Metastatic renal cell carcinoma [MRCC] is a rare cause of massive lower gastrointestinal bleeding [LGIB]. We report a 51-year man who underwent left nephrectomy for renal cell carcinoma [RCC] 6 years ago. presenting with massive LGIB. Preoperative abdominal computed tomography [CT] revealed small bowel mass. Exploration of the abdomen revealed jejunal mass. Resection of the mass along with the jejunal segment with end-to-end anastomosis was performed. Histopathology of the jejunal mass confirmed MRCC. MRCC should be expected as a source of massive LGIB in a patient with history of RCC. Surgical intervention should not be delayed in a hemodynamically unstable patient and persistent bleeding
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Tomography, X-Ray Computed
/
Lower Gastrointestinal Tract
/
Gastrointestinal Hemorrhage
/
Jejunum
/
Kidney Neoplasms
/
Neoplasm Metastasis
/
Nephrectomy
Type of study:
Case report
Limits:
Humans
/
Male
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2017
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