Abstract
We report a case of a 73-year-old woman who had undergone left nephrectomy for renal cell carcinoma 16 years prior and was found to have a pancreatic tumor by computed tomography when she suffered from subileus. Computed tomography and magnetic resonance imaging revealed a pancreatic tumor showing early enhancement in the arterial phase. We suspected the tumor to be a metastasis from the renal cell carcinoma. Therefore, we performed distal pancreatectomy and splenectomy. The postoperative course was uneventful, and the histopathological diagnosis was a metastatic pancreatic tumor from clear-cell type renal cell carcinoma. Patients with a history of renal cell carcinoma should therefore undergo long-term follow-up.