Upper gastrointestinal bleeding revealing the stomach metastases of renal cell carcinoma.
BACKGROUND
Renal cell carcinoma (RCC) constitutes 3% of all adult malignancies and often presents insidiously. Consequently, 25-30% of patients have metastases at the time of diagnosis.


CONCLUSIONS
Gastrointestinal (GI) bleeding from RCC metastases is an uncommon and underrecognized manifestation of this disease. We hereby report a rare case of RCC with stomach metastasis which heralded the primary manifestation of the disease. This case highlights the importance of maintaining vigilance for unusual causes during endoscopy in cases of upper GI hemorrhage.
Kibria
Rizwan
R
Gastroenterology, SOM, Wright State University, 4100 W. Third Street, Dayton, OH 45428, USA. rekibria@gmail.com
Sharma
Kanan
K
Ali
Syed A
SA
Rao
Pallavi
P
D002292:Carcinoma, Renal Cell / Q000150:complications / Q000503:physiopathology / Q000556:secondary*; D003324:Coronary Artery Disease / Q000150:complications; D003924:Diabetes Mellitus, Type 2; D050171:Dyslipidemias / Q000150:complications; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D006973:Hypertension / Q000150:complications; D007680:Kidney Neoplasms / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology* / Q000503:physiopathology