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

Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

Asad Saulat Fatimi  1 , Khizer Masroor Anns  1 , Faheemullah Khan  2 , Wasim Ahmed Memon  2 , Junaid Iqbal  2 , Muhammad Aman  2 , Izaz Ahmad  3 , Sahar Fatima  4
Affiliations
Case Reports

Testicular choriocarcinoma with small bowel metastasis and active gastrointestinal bleeding

Asad Saulat Fatimi et al. Radiol Case Rep. .

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.

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Figures

Fig 1
Fig. 1
(A) CECT coronal section showing arterially enhancing metastatic deposit in the jejunum cause of the active bleed; (B) angiogram confirming the presence of an active bleed.
Fig 2
Fig. 2
(A) Multiple arterially enhancing metastatic pulmonary deposits; (B) arterially enhancing lesion adherent to the distal ileal loops; (C) post orchidectomy scar.
See this image and copyright information in PMC

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