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Case Report
 
In cholestatic hepatic dysfunction, also consider the kidneys and the heart: A probable case of Stauffer syndrome in renal leiomyosarcoma with cava-atrial extension
Ruth Jones1, Les Ala2
1BSc, Highly Specialist Cardiac Physiologist, Royal Glamorgan Hospital, LLantrisant, South Wales CF72 8XR, United Kingdom.
2MRCP(UK), Consultant Acute Physician, Royal Glamorgan Hospital, LLantrisant, South Wales CF72 8XR, United Kingdom.

doi:10.5348/ijcri-2013-11-394-CR-8

Address correspondence to:
Dr. Les Ala
37 Thriepland Drive, Cardiff
Vale of Glamorgan, Wales, CF14 4PY
United Kingdom
Phone: +44 (0)1443 443 443
Email: leslie.ala@wales.nhs.uk

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How to cite this article:
Jones R, Ala L. In cholestatic hepatic dysfunction, also consider the kidneys and the heart: A probable case of Stauffer syndrome in renal leiomyosarcoma with cava-atrial extension. International Journal of Case Reports and Images 2013;4(11):619–622.


Abstract
Introduction: Abnormal liver function tests (LFTs) are a common reason for referral to hospital although in some cases, no obvious hepatic pathology is found. Yet, they can indicate other disease processes not immediately obvious. A rare cause of cholestatic hepatic dysfunction is the paraneoplastic manifestation of malignancy.
Case Report: Herein, we report a case referred with anicteric cholestatic hepatic dysfunction that was found to have a renal leiomyosarcoma with inferior vena cava (IVC) and right atrium extension.
Conclusion: The abnormal LFTs were thought to be a paraneoplastic manifestation of the tumor as these were improving following surgical treatment.

Keywords: Renal leiomyosarcoma, Stauffer syndrome, Inferior vena cava (IVC) right atrial tumor extension, IVC obstruction


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Author Contributions
Ruth Jones – Acquisition of data, Analysis and interpretation of data, Performed echocardiography, Critical revision of the article and helped to write the first draft, Final approval of the version to be published
Les Ala – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Ruth Jones et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)