title: Embolization for treatment of gastrointestinal hemorrhage secondary to recurrent renal cell carcinoma.
abstract: 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.
authors.affiliation: Department of Radiology, SUNY Downstate Health Science Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
authors.forename: Jeff
authors.initials: J
authors.lastname: Kobak
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Gandras
authors.forename: Linwald
authors.initials: L
authors.lastname: Fleury
authors.forename: Jerzy
authors.initials: J
authors.lastname: Macura
authors.forename: Joseph
authors.initials: J
authors.lastname: Shams
mesh_terms: 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
chemical_list: D011142:Polyvinyl Alcohol