Radiology Case Reports (Mar 2023)

Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

  • Asad Saulat Fatimi, MBBS,
  • Khizer Masroor Anns, MBBS,
  • Faheemullah Khan, MBBS, MD,
  • Wasim Ahmed Memon, MBBS, FCPS,
  • Junaid Iqbal, MBBS, FCPS,
  • Muhammad Aman, MBBS,
  • Izaz Ahmad, MBBS,
  • Sahar Fatima, MBBS, FCPS

Journal volume & issue
Vol. 18, no. 3
pp. 1117 – 1120

Abstract

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Testicular choriocarcinomas make up less than 1% of all germ-cell tumors and are highly malignant, attributable to hematogenous spread. While the most common sites of metastasis are the lungs and liver, metastatic spread to the gastrointestinal tract is rare wherein patients may present with GI distress or even an upper GI bleed. In this report, we present a case of known testicular choriocarcinoma in a 40-year-old male who presented to the emergency room with severe anemia and a suspected upper GI bleed.

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