Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization
Abstract Background Gastrointestinal bleeding from renal cell carcinoma metastasis is an uncommon manifestation of tumor recurrence and is usually difficult to control. Palliative trans-catheter embolization to control the bleeding has been used and described in the literature. Case presentation The...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-03-01
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| Series: | CVIR Endovascular |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s42155-019-0054-4 |
| _version_ | 1818320663233953792 |
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| author | Donya Farrokh Masoud Pezeshki Rad Reihaneh Mortazavi Reza Akhavan Bita Abbasi |
| author_facet | Donya Farrokh Masoud Pezeshki Rad Reihaneh Mortazavi Reza Akhavan Bita Abbasi |
| author_sort | Donya Farrokh |
| collection | DOAJ |
| description | Abstract Background Gastrointestinal bleeding from renal cell carcinoma metastasis is an uncommon manifestation of tumor recurrence and is usually difficult to control. Palliative trans-catheter embolization to control the bleeding has been used and described in the literature. Case presentation The present report describes a 62- years-old male with local recurrence of RCC who presented with upper GI bleeding as the primary manifestation 10 years after right-sided partial nephrectomy. A pseudoaneurysm of renal artery with erosion into the duodenal lumen was responsible for the massive bleeding and was controlled with coil embolization. Conclusion This case report highlights the importance of high index suspicion in post-nephrectomy patients for RCC, presenting with new symptoms. Aggressive gastrointestinal workup and adequate awareness of available minimally-invasive endovascular options for controlling GIB in these patients, are of paramount importance. |
| first_indexed | 2024-12-13T10:28:35Z |
| format | Article |
| id | doaj.art-e4194d7aef4343beb66570edc51740ac |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-13T10:28:35Z |
| publishDate | 2019-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-e4194d7aef4343beb66570edc51740ac2022-12-21T23:50:56ZengSpringerOpenCVIR Endovascular2520-89342019-03-01211410.1186/s42155-019-0054-4Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolizationDonya Farrokh0Masoud Pezeshki Rad1Reihaneh Mortazavi2Reza Akhavan3Bita Abbasi4Department of Radiology, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Radiology, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Radiology, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Radiology, Faculty of Medicine, Mashhad University of Medical SciencesAbstract Background Gastrointestinal bleeding from renal cell carcinoma metastasis is an uncommon manifestation of tumor recurrence and is usually difficult to control. Palliative trans-catheter embolization to control the bleeding has been used and described in the literature. Case presentation The present report describes a 62- years-old male with local recurrence of RCC who presented with upper GI bleeding as the primary manifestation 10 years after right-sided partial nephrectomy. A pseudoaneurysm of renal artery with erosion into the duodenal lumen was responsible for the massive bleeding and was controlled with coil embolization. Conclusion This case report highlights the importance of high index suspicion in post-nephrectomy patients for RCC, presenting with new symptoms. Aggressive gastrointestinal workup and adequate awareness of available minimally-invasive endovascular options for controlling GIB in these patients, are of paramount importance.http://link.springer.com/article/10.1186/s42155-019-0054-4Gastrointestinal hemorrhageEmbolizationTherapeuticRenal cell carcinoma |
| spellingShingle | Donya Farrokh Masoud Pezeshki Rad Reihaneh Mortazavi Reza Akhavan Bita Abbasi Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization CVIR Endovascular Gastrointestinal hemorrhage Embolization Therapeutic Renal cell carcinoma |
| title | Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization |
| title_full | Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization |
| title_fullStr | Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization |
| title_full_unstemmed | Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization |
| title_short | Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization |
| title_sort | local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding management with renal artery embolization |
| topic | Gastrointestinal hemorrhage Embolization Therapeutic Renal cell carcinoma |
| url | http://link.springer.com/article/10.1186/s42155-019-0054-4 |
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