Renal cell carcinoma presenting as an upper gastrointestinal bleeding.
An 80-year-old man presented with melaena and anaemia of 1 week duration. This was associated with shortness of breath and an indigestion-type pain for the preceding 8 weeks. General physical examination revealed epigastric tenderness, but an otherwise soft abdomen with no organomegaly. The patient had a gastroscopy, showing a polypoidal lesion in the second part of duodenum (D2) as the bleeding point, which was managed with epinephrine injection and endoclips. This was followed by CT of the abdomen, revealing a lobulated 8 cm mass arising from the lower pole of the right kidney and invading the duodenum. The case report aims to acknowledge the possibility of direct duodenal involvement in renal cell carcinoma, which is a rare occurrence.
Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Mohamed Osama
MO
Mohamed
Department of Gastroenterology, Aintree University Hospitals, Lower Lane, Liverpool, Liverpool, UK.
Sinan
S
Al-Rubaye
Department of Gastroenterology, Wirral University Teaching Hospital NHS FT, Wirral, UK.
Ian William
IW
Reilly
Department of Gastroenterology, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, UK.
Stephen
S
McGoldrick
D000369:Aged, 80 and over; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D004378:Duodenal Diseases / Q000209:etiology* / Q000628:therapy; D004379:Duodenal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D005773:Gastroscopy; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D009361:Neoplasm Invasiveness; D014057:Tomography, X-Ray Computed