Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease
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 st...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/6664147 |
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| author | Ahmed Elfiky Asmaa Mokhtar Mira Alsheikh Hassan Almoussawi Stephen Mulrooney |
| author_facet | Ahmed Elfiky Asmaa Mokhtar Mira Alsheikh Hassan Almoussawi Stephen Mulrooney |
| author_sort | Ahmed Elfiky |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-08ef54512aec4d2eaad6ee720281c8d4 |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-08ef54512aec4d2eaad6ee720281c8d42025-08-20T02:03:20ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/66641476664147Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer DiseaseAhmed Elfiky0Asmaa Mokhtar1Mira Alsheikh2Hassan Almoussawi3Stephen Mulrooney4Department of Internal Medicine, Staten Island University Hospital-Northwell Health, New York, NY, USADepartment of Internal Medicine, Staten Island University Hospital-Northwell Health, New York, NY, USADepartment of Gastroenterology, Staten Island University Hospital-Northwell Health, New York, NY, USADepartment of Gastroenterology, Staten Island University Hospital-Northwell Health, New York, NY, USADepartment of Gastroenterology, Staten Island University Hospital-Northwell Health, New York, NY, USATesticular 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.http://dx.doi.org/10.1155/2021/6664147 |
| spellingShingle | Ahmed Elfiky Asmaa Mokhtar Mira Alsheikh Hassan Almoussawi Stephen Mulrooney Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease Case Reports in Gastrointestinal Medicine |
| title | Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease |
| title_full | Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease |
| title_fullStr | Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease |
| title_full_unstemmed | Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease |
| title_short | Gastrointestinal Bleeding Secondary to Metastatic Duodenal Choriocarcinoma in a Patient with Concomitant Peptic Ulcer Disease |
| title_sort | gastrointestinal bleeding secondary to metastatic duodenal choriocarcinoma in a patient with concomitant peptic ulcer disease |
| url | http://dx.doi.org/10.1155/2021/6664147 |
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