Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease
| Autor: | Stephen Mulrooney, Ahmed Elfiky, Mira Alsheikh, Asmaa Mokhtar, Hassan Almoussawi |
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| Rok vydání: | 2021 |
| Předmět: |
History
medicine.medical_specialty Gastrointestinal bleeding Polymers and Plastics Case Report RC799-869 Gastroenterology Industrial and Manufacturing Engineering law.invention 03 medical and health sciences 0302 clinical medicine Capsule endoscopy law Internal medicine medicine Testicular Choriocarcinoma Business and International Management Gastrointestinal tract business.industry Choriocarcinoma Diseases of the digestive system. Gastroenterology medicine.disease Chemotherapy regimen medicine.anatomical_structure 030220 oncology & carcinogenesis Concomitant Duodenum 030211 gastroenterology & hepatology business |
| Zdroj: | Case Reports in Gastrointestinal Medicine, Vol 2021 (2021) Case Reports in Gastrointestinal Medicine |
| ISSN: | 2090-6536 2090-6528 |
| Popis: | Testicular tumors are one of the most common solid tumors in young males. Choriocarcinoma usually presents as metastatic disease. Gastrointestinal tract involvement is rare. We report a case of a 40-year-old male presenting to our hospital with a three-day history of dyspnea on exertion and black stool after recent diagnosis of testicular choriocarcinoma. Urgent EGD performed revealed small clean-based fundal ulcer and an antral ulcer without the stigma of recent bleeding. Capsule endoscopy was performed and revealed a bleeding ill-defined mass in the proximal duodenum. A subsequent push enteroscopy showed an ulcerated bleeding mass in the third part of the duodenum that was treated with a hemospray with adequate hemostasis. Pathology was consistent with pure choriocarcinoma. The patient received a cisplatin-based chemotherapy regimen. The patient tolerated the chemotherapy regimen well and was discharged for outpatient follow-up. At the three-month follow-up, the patient did not show evidence of recurrent gastrointestinal bleeding. |
| Databáze: | OpenAIRE |
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