Embolotherapy for small bowel hemorrhage from metastatic renal cell carcinoma: case report.
Embolization for control of hemorrhage in the small bowel carries a significant risk of bowel infarction. A case is presented where severe gastrointestinal hemorrhage from a hypervascular renal cell carcinoma metastasis to the jejunum was effectively controlled by superselective embolization of mesenteric tumor supply arteries with Gelfoam particles. Adjacent normal mesenteric arteries remained open. It is concluded that in specific instances where direct mesenteric feeders to a tumor can be catheterized, such embolization can be performed safely.
Department of Radiology, Georgetown University Hospital, Washington, D.C. 20007.
B
B
Gordon
S V
SV
Lossef
E
E
Jelinger
K H
KH
Barth
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000098:blood supply / Q000150:complications / Q000556:secondary*; D004621:Embolization, Therapeutic; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D005781:Gelatin Sponge, Absorbable; D006801:Humans; D007580:Jejunal Neoplasms / Q000098:blood supply / Q000150:complications / Q000556:secondary*; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male