Embolization for treatment of gastrointestinal hemorrhage secondary to recurrent renal cell carcinoma.
Massive gastrointestinal hemorrhage secondary to metastatic renal cell carcinoma involving the jejunum is rare but has been previously described in the medical literature. Treatment options for metastatic renal cell carcinoma are limited, but transcatheter arterial embolization can be performed to control gastrointestinal hemorrhage either alone or prior to surgical resection. We describe a case of successful transcatheter arterial embolization for control of massive gastrointestinal hemorrhage secondary to locally recurrent renal cell carcinoma invading the jejunum and review the literature. Arteriography provided both the diagnosis of recurrent disease and the means of therapy.
Kobak
Jeff
J
Department of Radiology, SUNY Downstate Health Science Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Gandras
Eric J
EJ
Fleury
Linwald
L
Macura
Jerzy
J
Shams
Joseph
J
D000368:Aged; D000792:Angiography; D002292:Carcinoma, Renal Cell / Q000556:secondary*; D002408:Catheters, Indwelling; D004621:Embolization, Therapeutic / Q000295:instrumentation; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications* / Q000556:secondary; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000150:complications*; D009392:Nephrectomy; D011142:Polyvinyl Alcohol / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D011142:Polyvinyl Alcohol