Kobak Jeff, Gandras Eric J, Fleury Linwald, Macura Jerzy, Shams Joseph
Department of Radiology, SUNY Downstate Health Science Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Cardiovasc Intervent Radiol. 2006 Nov-Dec;29(6):1117-20. doi: 10.1007/s00270-004-0095-4.
Massive gastrointestinal hemorrhage secondary to metastatic renal cell carcinoma involving the jejunum is rare but has been previously described in the medical literature. Treatment options for metastatic renal cell carcinoma are limited, but transcatheter arterial embolization can be performed to control gastrointestinal hemorrhage either alone or prior to surgical resection. We describe a case of successful transcatheter arterial embolization for control of massive gastrointestinal hemorrhage secondary to locally recurrent renal cell carcinoma invading the jejunum and review the literature. Arteriography provided both the diagnosis of recurrent disease and the means of therapy.
转移性肾细胞癌累及空肠继发的大量胃肠道出血较为罕见，但此前医学文献已有描述。转移性肾细胞癌的治疗选择有限，但可单独或在手术切除前进行经导管动脉栓塞以控制胃肠道出血。我们描述了一例成功通过经导管动脉栓塞控制局部复发性肾细胞癌侵犯空肠继发的大量胃肠道出血的病例，并对文献进行了回顾。动脉造影既提供了复发性疾病的诊断，也提供了治疗方法。
