Diagnosis and management of massive gastrointestinal bleeding owing to duodenal metastasis from renal cell carcinoma

A. Lynch-Nyhan, E. K. Fishman, S. Kadir

Research output: Contribution to journalArticlepeer-review

Abstract

We report 3 cases in which duodenal metastases from renal cell carcinoma caused massive upper gastrointestinal bleeding. In 2 patients the initial symptom was melena and 1 experienced hematobilia. In 2 patients the diagnosis was not suspected until a hypervascular mass was seen on arteriography and the bleeding was controlled by embolization of the gastroduodenal artery. In the third patient an aorto-enteric fistula was suspected on contrast-enhanced computerized tomography but arteriography showed hypervascular metastases in the duodenum.

Original languageEnglish (US)
Pages (from-to)611-613
Number of pages3
JournalJournal of Urology
Volume138
Issue number3
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Urology

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