Open AccessAmpullary metastasis from renal cell carcinoma presenting as obstructive jaundice 10 years after radical nephrectomy
Author(s) -
Ha-Yeon Kim,
Gi-Hoon Lee,
ChungHwan Jun,
Kang-Jin Park,
Sung-Bum Cho,
Jinwoong Kim,
YoungEun Joo
Publication year - 2012
Publication title -
interventional medicine and applied science/interventional medicine and applied science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.195
H-Index - 14
eISSN - 2061-5094
pISSN - 2061-1617
DOI - 10.1556/imas.4.2012.2.7
Subject(s) - medicine , nephrectomy , ampulla of vater , renal cell carcinoma , metastasis , jaundice , common bile duct , radiology , pancreaticoduodenectomy , surgery , carcinoma , pancreas , kidney , cancer
Metastasis to the ampulla of Vater from renal cell carcinoma (RCC) is rarely encountered. We present the case of a 50-year-old male admitted with complaints of right upper quadrant pain and jaundice. The medical history consisted of a right radical nephrectomy, right adrenalectomy, and brain mass excision for RCC and metastasis. An esophagogastroduodenoscopy revealed a round ampullary mass with ulceration. An abdominal computed tomography scan revealed an enhancing mass in the ampulla of Vater, total pancreas, and left adrenal gland. Pathologic examination of a biopsy specimen was compatible with metastatic RCC of the clear cell type. A percutaneous transhepatic cholangiogram revealed complete obstruction of the distal common bile duct. A metal stent was inserted for bile drainage via the percutaneous transhepatic route. Patients with a history of RCC should undergo a careful long-term follow-up to detect and evaluate metastasis to usual and unusual sites.