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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2014; 68(3): 207-208.

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

Ivana Mikoviny Kajzrlíková1, Josef Chalupa2, Alois Hájek, Vladimír Jr. Hořava3, Jan Kuchař4, Jiří Platoš4, Petr Vítek5,6

+ Affiliation



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.


bleeding, renal carcinoma

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