Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

Asad Saulat Fatimi; Khizer Masroor Anns; Faheemullah Khan; Wasim Ahmed Memon; Junaid Iqbal; Muhammad Aman; Izaz Ahmad; Sahar Fatima

doi:10.1016/j.radcr.2022.12.019

Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

Radiol Case Rep. 2023 Jan 6;18(3):1117-1120. doi: 10.1016/j.radcr.2022.12.019. eCollection 2023 Mar.

Authors

Asad Saulat Fatimi¹, Khizer Masroor Anns¹, Faheemullah Khan², Wasim Ahmed Memon², Junaid Iqbal², Muhammad Aman², Izaz Ahmad³, Sahar Fatima⁴

Affiliations

¹ Medical College, The Aga Khan University, Karachi, Pakistan.
² Department of Radiology, The Aga Khan University, Karachi, Pakistan.
³ Pak International Medical College, Peshawar, Pakistan.
⁴ Department of Clinical Imaging, Hamad Medical Corporation, Al Wakrah, PO BOX 3050, Doha, Qatar.

Abstract

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.

Keywords: Case report; Choriocarcinoma; Gastrointestinal bleed; Germ-cell tumor; Metastasis.

Publication types

Case Reports