Korean J Pancreas Biliary Tract.  2014 Apr;19(2):101-104.

A Case of Metastatic Renal Cell Carcinoma Bleeding of the Pancreas Manifesting As Cholangitis

• Yun SA
• Koo HC
• Jang JW
• Kim A
• Kim YS
• Jung SH
• Kim SH
• Sung WK

Abstract

Renal cell carcinoma (RCC) is the second most common urological malignancy and it has diverse range of clinical manifestation. One third of the patients show the metastasis at the time of the diagnosis. The common sites of metastasis are the lung, bone, lymph nodes and metastasis to the pancreas is rare. In case of pancreatic metastasis, more than half of the patients are asymptomatic. Patients with symptoms visit hospital complaining of abdominal pain, weight loss, steatorrhea and rarely biliary obstruction. Although about 40% of all patients visit hospital with hemorrhage, cholangitis caused by spontaneous pancreatic hemorrhage is rare. We report an interesting case of 61-year-old woman with cholangitis caused by bleeding due to pancreatic metastasis from renal cell carcinoma.

Keyword

Renal cell carcinoma; Pancreas; Metastasis; Cholangitis

MeSH Terms

Abdominal Pain
Carcinoma, Renal Cell*
Cholangitis*
Diagnosis
Female
Hemorrhage*
Humans
Lung
Lymph Nodes
Middle Aged
Neoplasm Metastasis
Pancreas*
Steatorrhea
Weight Loss