A case of wedge resection of duodenum for massive gastrointestinal bleeding due to duodenal metastasis by renal cell carcinoma

World Journal of Surgical Oncology

Hongyan Li²  Yu Zhang²  Guohua Zuo²  Ping Liang²  Jing Li²  Keqiang Han²  Hongzhi Zhao¹ 

[1] Division of Immunology &Inflammation, Department of Medicine, Imperial College, Hammersmith Campus, Du Cane Road, London, W12 0NN, UK;Department of Hepatobiliary Surgery, Xinqiao Hospital, Third Military Medical University, Xinqiao Street, Chongqing 400037, China

关键词: Renal clear cell carcinoma;    Metastasis;    Wedge resection;    Gastrointestinal bleeding;   

Others  :  827243
DOI  :  10.1186/1477-7819-10-199

 received in 2012-03-19, accepted in 2012-09-13,  发布年份 2012

【 摘 要 】

Background

Gastrointestinal bleeding due to duodenal metastasis from renal cell carcinoma is extremely rare. Several previous reports have shown that embolic therapy or pancreatoduodenectomy (radical surgical resection) could be effective in controlling this type of clinical complication. Management is entirely dependent on the general condition and concurrent metastases at other sites. Optimizing the therapeutic strategies thus deserves further discussion and exploration.

Methods

In this report, we describe a patient with severe co-morbidities who underwent successful palliative wedge resection of duodenum and direct duodenal wall defect repair without reconstruction of duodeno-jejunostomy for acute upper digestive tract hemorrhage caused by duodenal metastasis from renal clear cell carcinoma.

Results

The patient recovered uneventfully and did not experience rebleeding and frequent vomiting after surgery. Since then (1.5 years) he has had no evidence of rebleeding.

Conclusions

Gastrointestinal bleeding due to duodenal metastasis of RCC may benefit from emergent resection even in the presence of severe co-morbidities, and for palliative treatment.

【 授权许可】

   
2012 Zhao et al.; licensee BioMed Central Ltd.

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