Renal cell carcinoma presenting as acute pancreatitis and GI bleeding.
A 75-year-old woman was admitted for acute pancreatitis, jaundice, GI bleeding, and a tender mass in the right hypochondrium. Upper gastrointestinal series demonstrated a diverticulum-like structure on the lateral aspect of the second part of the duodenum. This structure was excised and turned out to be a renal cell carcinoma invading the duodenum by direct extension from the right kidney. Although renal cell carcinoma may present in numerous and often perplexing manifestations, this is a unique presentation.
D000208:Acute Disease; D000230:Adenocarcinoma / Q000175:diagnosis*; D000368:Aged; D002758:Cholangiography; D002779:Cholestasis / Q000209:etiology; D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D010195:Pancreatitis / Q000209:etiology