Abstrait

Severe lower gastrointestinal bleeding due to metastatic choriocarcinoma to the jejunum: A rare presentation.

Fatemi SR, Hatami B, Ghobakhlou M, Mohsenifar Z

We report a 33-year-old woman with intermittent abdominal pain and lower gastrointestinal bleeding. Upper and lower GI endoscopy did not reveal any lesion. In order to further evaluation, radionuclide RBC scan was performed and suggested the location of bleeding in right upper quadrant of abdomen around the small intestine, then laparotomy was performed and a 1 cm × 2 cm tumor was seen in jejunum approximately at 65 cm from treitz ligament. Pathologic examination was compatible with metastatic choriocarcinoma to the jejunum. The serum β-hCG was 57,000 IU/ml. On uterus evaluation, tumoral mass compatible with choriocarcinoma was detected. Chemotherapy was started after surgery. The patient was asymptomatic on follow-up.