{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:15Z","timestamp":1753876575319,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Renal cell carcinoma (RCC) can be an aggressive malignancy that has a propensity to spread to atypical locations, most commonly to lung, bone, lymph node. RCC presenting as obstructive jaundice with gastric outlet obstruction has rarely been cited in literature. This study presents a case of advanced RCC in a patient with obstructive jaundice and associated gastric outlet obstruction from a large right renal RCC with malignant retrocaval lymphadenopathy invading the duodenum and distal common bile duct. The patient underwent anterograde stenting of the biliary system via a percutaneous transhepatic cholangiography and an insertion of a duodenal stent. Immunotherapy was commenced and the patient was discharged home. This case highlights the importance of a multi-disciplinary team approach to the management of a complex surgical patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa591","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T12:08:52Z","timestamp":1608552532000},"source":"Crossref","is-referenced-by-count":1,"title":["Metastatic renal cell carcinoma presenting as jaundice with biliary and gastric outlet obstruction. A case report"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6718-1369","authenticated-orcid":false,"given":"Ramiz","family":"Iqbal","sequence":"first","affiliation":[{"name":"Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elvina","family":"Wiadji","sequence":"additional","affiliation":[{"name":"Department of Surgery, John Hunter Hospital, Newcastle, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"2021020403261166500_ref1","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.ajur.2016.08.006","article-title":"Metastasis in renal cell carcinoma: biology and implications for therapy","volume":"3","author":"Gong","year":"2016","journal-title":"Asian J Urol"},{"key":"2021020403261166500_ref2","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1053\/j.ajkd.2016.08.023","article-title":"Bile cast nephropathy caused by obstructive cholestasis","volume":"69","author":"Aniort","year":"2017","journal-title":"Am J Kidney Dis"},{"key":"2021020403261166500_ref3","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1007\/s12664-013-0398-y","article-title":"Metastasis of renal cell carcinoma to the duodenal papilla","volume":"33","author":"Chowdhury","year":"2014","journal-title":"Indian J Gastroenterol"},{"key":"2021020403261166500_ref4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1186\/1477-7819-11-262","article-title":"Obstructive jaundice due to ampullary metastasis of renal cell carcinoma","volume":"11","author":"Karakatsanis","year":"2013","journal-title":"World J Surg Oncol"},{"key":"2021020403261166500_ref5","first-page":"99","article-title":"A case report of renal cell carcinoma with metastatic intraductal tumor thrombus of the common bile duct","volume":"55","author":"Norihiko","year":"2009","journal-title":"Hinyokika Kiyo"},{"key":"2021020403261166500_ref6","first-page":"3003","article-title":"Chromophobe renal cell carcinoma masquerading as obstructive jaundice and gastric outlet obstruction","volume":"17","author":"Suresh","year":"2015","journal-title":"J Evol Med Dent Sci"},{"key":"2021020403261166500_ref7","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.asjsur.2013.09.009","article-title":"Primary non-Hodgkin's lymphoma of the common bile duct: a case report and literature review","volume":"40","author":"Zakaria","year":"2017","journal-title":"Asian J Surg"},{"key":"2021020403261166500_ref8","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1056\/NEJMoa1803675","article-title":"Sunitinib alone or after nephrectomy in metastatic renal-cell carcinoma","volume":"379","author":"M\u00e9jean","year":"2018","journal-title":"N Engl J Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/1\/rjaa591\/36185647\/rjaa591.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/1\/rjaa591\/36185647\/rjaa591.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T10:33:25Z","timestamp":1612780405000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa591\/6118494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa591","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2021,1]]},"published":{"date-parts":[[2021,1,1]]},"article-number":"rjaa591"}}