A case of jejunal hemorrahage from metastatic renal cell carcinoma.
- Author:
Jae One JUNG
1
;
Ji Hyun HONG
;
Seong Gyun KIM
;
Hye Rim PARK
;
Hyung Jik KIM
;
Bong Wha LEE
;
Choong Kee PARK
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Anyang, Korea. imnksk@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Renal cell carcinoma;
Metastasis;
Jejunum
- MeSH:
Aged;
Angiography;
Carcinoma, Renal Cell*;
Follow-Up Studies;
Hemorrhage;
Humans;
Jejunum;
Melena;
Neoplasm Metastasis;
Nephrectomy;
Physical Examination;
Recurrence;
Tomography, X-Ray Computed
- From:Korean Journal of Medicine
2004;67(Suppl 3):S867-S870
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 68-year-old man who had suffered left nephrectomy 6 years previously for renal cell carcinoma presented with a 6-week history of melena episodes. Physical examination and laboratory data were irrelevant. Gastroduodenoscopy and colononoscopy could not reveal a bleeding focus. An angiography was undertaken, which confirmed the presence of an abnormal tumor staining at the jejunum. For the preoperative evaluation, a small bowel study showed an about 2 cm sized eccentric filling defect at mesenteric side wall of distal jejunum in the left lower quadrant. A CT scan also showed a heavily enhancing bowel wall thickening. Small bowel resection was performed, and a 3 X 3 cm ulceroinfiltrating jejunal lesion was found which microscopically consisted of a proliferation of trabeculated clear cells. He had an unremarkable postoperative recovery. A follow-up CT scan at 3 months later showed no evidence of recurrence.
