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

World Journal of Surgical Oncology

Research

Hongyan Li¹  Keqiang Han¹  Jing Li¹  Ping Liang¹  Guohua Zuo¹  Yu Zhang¹  Hongzhi Zhao² 

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

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

DOI  :  10.1186/1477-7819-10-199

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

来源: Springer

【 摘 要 】

BackgroundGastrointestinal 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.MethodsIn 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.ResultsThe 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.ConclusionsGastrointestinal 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】

Unknown   
© Zhao et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.