Combined endoscopic and laparoscopic treatment of acute bleeding from gastric metastases from renal cell carcinoma – video case report

Czech version

Authors: P. Vítek ^1,2; I. Mikoviny Kajzrlíková ¹; J. Chalupa ¹; A. Hájek ³; V. Hořava Jr ⁴; J. Kuchař ¹; J. Platoš ¹
Authors‘ workplace: Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p. o. ¹; Lékařská fakulta, Ostravská univerzita v Ostravě ²; Chirurgicko-traumatologické oddělení, Nemocnice ve Frýdku-Místku, p. o. ³; Oddělení patologie, Nemocnice ve Frýdku-Místku, p. o. ⁴
Published in: Gastroent Hepatol 2014; 68(3): 207-208
Category: Digestive Endoscopy: Video-Case Report

Overview

We present the case of an 80-year-old man examined for sideropenic anaemia. Upper GI endoscopy revealed two gastric metastases of clear cell renal cancer. The subsequent abdominal CT revealed a tumour of the right kidney. The patient repeatedly experienced haemodynamically significant bleeding from gastric metastases during his hospital stay. Laparoscopic wedge resection of the gastric fundus and part of the greater curvature was performed. Localisation of metastases was improved by peroperative endoscopic assistance with injection of methylene blue solution. The patient recovered well and underwent subsequent elective nephrectomy.

Key words:
stomach neoplasms – renal cell cancer – endoscopic therapy – hemorrhage

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
18. 4. 2014

Accepted:
19. 5. 2014

Sources

1. Pollheimer MJ, Hinterleitner TA, Pollheimer VS et al. Renal cell carcinoma metastatic to the stomach: single-centre experience and literature review. BJU Int 2008; 102(3): 315–319. doi: 10.1111/j.1464-410X.2008.07617.x.

2. Xu J, Latif S, Wei S. Metastatic renal cell carcinoma presenting as gastric polyps: A case report and review of the literature. Int J Surg Case Rep 2012; 3(12): 601–604. doi: 10.1016/j.ijscr.2012.08.009.

3. Eslick GD, Kalantar JS. Gastric metastasis in renal cell carcinoma: a case report and systematic review. J Gastrointest Cancer 2011; 42(4): 296–301. doi: 10.1007//s12029-010-9165-9.

4. Sugasawa H, Ichikura T, Ono S et al. Isolated gastric metastasis from renal cell carcinoma 19 years after radical nephrectomy. Int J Clin Oncol 2010; 15(2): 196–200. doi: 10.1007/s10147-010-0025-1.

5. Sakurai K, Muguruma K, Yamazoe S et al. Gastric metastasis from renal cell carcinoma with gastrointestinal bleeding: a case report and review of the literature. Int Surg 2014; 99(1): 86–90. doi: 10.9738//INTSURG-D-13-00115.1.