Gastroenterologie
a hepatologie

Combined endoscopic and laparoscopic treatment of acute
bleeding from gastric metastases from renal cell carcinoma –
video case report

Ivana Mikoviny Kajzrlíková ^{Orcid.org  1}, Josef Chalupa ^{Orcid.org  2}, Alois Hájek ^Orcid.org  , Vladimír Jr. Hořava ^{Orcid.org  3}, Jan Kuchař ^{Orcid.org  4}, Jiří Platoš ^{Orcid.org  4}, Petr Vítek^5,6

+ Affiliation
¹ Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku‑ Místku, p. o.
² Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku‑Místku, p. o.
³ Oddělení patologie, Nemocnice ve Frýdku-Místku, p. o.
⁴ Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p.o.
⁵ Lékařská fakulta OU v Ostravě
⁶ LF OU v Ostravě

Summary

Summary:

We present the case of an 80-year-old man examined for sideropenic anaemia. Upper GI endoscopy revealed two gastric metastases of clear cell renal cancer. The subsequent abdominal CT revealed a tumour of the right kidney. The patient repeatedly experienced haemodynamically significant bleeding from gastric metastases during his hospital stay. Laparoscopic wedge resection of the gastric fundus and part of the greater curvature was performed. Localisation of metastases was improved by peroperative endoscopic assistance with injection of methylene blue solution. The patient recovered well and underwent subsequent elective nephrectomy.

Keywords