Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding
Acute upper gastrointestinal bleeding (UGIB) is a medical emergency with most common cause being peptic ulcer disease (PUD) or variceal bleeding. However, cancers that cause UGIB by invading the small intestine are uncommon, and the invasion of renal cell carcinoma (RCC) into the duodenum is an even...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2024/7122744 |
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| author | Aadesh Rayamajhi Saurav Agrawal Sandesh Rayamajhi Manoj Lamsal Dinesh Koirala |
| author_facet | Aadesh Rayamajhi Saurav Agrawal Sandesh Rayamajhi Manoj Lamsal Dinesh Koirala |
| author_sort | Aadesh Rayamajhi |
| collection | DOAJ |
| description | Acute upper gastrointestinal bleeding (UGIB) is a medical emergency with most common cause being peptic ulcer disease (PUD) or variceal bleeding. However, cancers that cause UGIB by invading the small intestine are uncommon, and the invasion of renal cell carcinoma (RCC) into the duodenum is an even rarer occurrence. A 55-year-old male presented with melena and right flank pain. Esophagogastroduodenoscopy (EGD) revealed an active bleeding source in the duodenum, later identified on contrast-enhanced computed tomography (CECT) as a duodenorenal fistula (DRF) caused by direct extension of the RCC. The imaging confirmed the presence of a malignant renal mass infiltrating adjacent organs. This atypical presentation of RCC with DRF manifesting as UGIB underscores the importance of comprehensive evaluations in cases of gastrointestinal bleeding to identify rare underlying causes. |
| format | Article |
| id | doaj-art-8d94824a0c6349e9a07d47d3d2084da0 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-8d94824a0c6349e9a07d47d3d2084da02025-02-03T06:02:22ZengWileyCase Reports in Medicine1687-96352024-01-01202410.1155/2024/7122744Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal BleedingAadesh Rayamajhi0Saurav Agrawal1Sandesh Rayamajhi2Manoj Lamsal3Dinesh Koirala4Maharajgunj Medical CampusMaharajgunj Medical CampusNepalese Army Institute of Health Sciences College of MedicineDepartment of GastroenterologyDepartment of GastroenterologyAcute upper gastrointestinal bleeding (UGIB) is a medical emergency with most common cause being peptic ulcer disease (PUD) or variceal bleeding. However, cancers that cause UGIB by invading the small intestine are uncommon, and the invasion of renal cell carcinoma (RCC) into the duodenum is an even rarer occurrence. A 55-year-old male presented with melena and right flank pain. Esophagogastroduodenoscopy (EGD) revealed an active bleeding source in the duodenum, later identified on contrast-enhanced computed tomography (CECT) as a duodenorenal fistula (DRF) caused by direct extension of the RCC. The imaging confirmed the presence of a malignant renal mass infiltrating adjacent organs. This atypical presentation of RCC with DRF manifesting as UGIB underscores the importance of comprehensive evaluations in cases of gastrointestinal bleeding to identify rare underlying causes.http://dx.doi.org/10.1155/2024/7122744 |
| spellingShingle | Aadesh Rayamajhi Saurav Agrawal Sandesh Rayamajhi Manoj Lamsal Dinesh Koirala Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding Case Reports in Medicine |
| title | Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding |
| title_full | Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding |
| title_fullStr | Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding |
| title_full_unstemmed | Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding |
| title_short | Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding |
| title_sort | renal cell carcinoma masquerading as acute upper gastrointestinal bleeding |
| url | http://dx.doi.org/10.1155/2024/7122744 |
| work_keys_str_mv | AT aadeshrayamajhi renalcellcarcinomamasqueradingasacuteuppergastrointestinalbleeding AT sauravagrawal renalcellcarcinomamasqueradingasacuteuppergastrointestinalbleeding AT sandeshrayamajhi renalcellcarcinomamasqueradingasacuteuppergastrointestinalbleeding AT manojlamsal renalcellcarcinomamasqueradingasacuteuppergastrointestinalbleeding AT dineshkoirala renalcellcarcinomamasqueradingasacuteuppergastrointestinalbleeding |