Presentation of renal cell carcinoma is quite variable. Only in 10% cases, it present with classic features of flank mass, hematuria and pain. Uncommon presentation may mislead the diagnosis and management. We are reporting a patient who initially present with diarrhoea as presenting symptoms of renal cell carcinoma. Figure 1: Contrast enhanced abdominal CT, showing heterogeneous, enhancing right upper & midpolar renal mass, and cut section of gross specimen showing infiltrating upper and midpolar renal mass.