title: Single gallbladder and multiple pancreatic metastases from renal cell carcinoma sixteen years after nephrectomy.
abstract: We describe a case of female patient presenting with acute biliary symptoms and severe haemobilia due to the presence of a large metastasis in the gallbladder wall from renal cell carcinoma treated by radical nephrectomy 16 years before. CT examination also showed the presence of multiple small round metastases from renal carcinoma in the pancreas, subsequently confirmed surgically and pathologically.
authors.affiliation: University Radiology, Imaging Department, Third Department of Surgery, Siena University Hospital.
authors.forename: Veronica
authors.initials: V
authors.lastname: Ricci
authors.forename: Salvatore Francesco
authors.initials: SF
authors.lastname: Carbone
authors.forename: Walter
authors.initials: W
authors.lastname: Testi
authors.forename: Riccardo
authors.initials: R
authors.lastname: Malatesti
authors.forename: Marianna
authors.initials: M
authors.lastname: Lo Gatto
authors.forename: Roberto
authors.initials: R
authors.lastname: Dell'Avanzato
authors.forename: Chiara
authors.initials: C
authors.lastname: Ginanneschi
authors.forename: Luca
authors.initials: L
authors.lastname: Volterrani
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D005260:Female; D005706:Gallbladder Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000175:diagnosis / Q000601:surgery; D009392:Nephrectomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D013997:Time Factors