Cargando…
Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy
We report a rare case of metastasis of hepatocellular carcinoma (HCC) to the small bowel that presented as a pedunculated epithelial polyp. A 60-year-old man with liver cirrhosis type B was treated for HCC (stage IVb) at our hospital. He had been admitted for melena and anemia. Capsule endoscopy was...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901617/ https://www.ncbi.nlm.nih.gov/pubmed/24474898 http://dx.doi.org/10.1159/000357302 |
_version_ | 1782300873642213376 |
---|---|
author | Igawa, A. Oka, S. Tanaka, S. Nakano, M. Aoyama, T. Watari, I. Aikata, H. Arihiro, K. Chayama, K. |
author_facet | Igawa, A. Oka, S. Tanaka, S. Nakano, M. Aoyama, T. Watari, I. Aikata, H. Arihiro, K. Chayama, K. |
author_sort | Igawa, A. |
collection | PubMed |
description | We report a rare case of metastasis of hepatocellular carcinoma (HCC) to the small bowel that presented as a pedunculated epithelial polyp. A 60-year-old man with liver cirrhosis type B was treated for HCC (stage IVb) at our hospital. He had been admitted for melena and anemia. Capsule endoscopy was performed in this patient with obscure gastrointestinal bleeding. It showed a polypoid lesion with bleeding in the ileum. Double-balloon endoscopy was performed. The lesion was determined to be a pedunculated polyp in the ileum. Histological examination of biopsy specimens showed tumor cells resembling HCC. We performed endoscopic mucosal resection for the lesion by double-balloon endoscopy to prevent bleeding from the tumor. The patient had no melena or anemia and his condition improved after endoscopic mucosal resection. However, he died of liver failure 2 months later. |
format | Online Article Text |
id | pubmed-3901617 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-39016172014-01-28 Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy Igawa, A. Oka, S. Tanaka, S. Nakano, M. Aoyama, T. Watari, I. Aikata, H. Arihiro, K. Chayama, K. Case Rep Gastroenterol Published online: November, 2013 We report a rare case of metastasis of hepatocellular carcinoma (HCC) to the small bowel that presented as a pedunculated epithelial polyp. A 60-year-old man with liver cirrhosis type B was treated for HCC (stage IVb) at our hospital. He had been admitted for melena and anemia. Capsule endoscopy was performed in this patient with obscure gastrointestinal bleeding. It showed a polypoid lesion with bleeding in the ileum. Double-balloon endoscopy was performed. The lesion was determined to be a pedunculated polyp in the ileum. Histological examination of biopsy specimens showed tumor cells resembling HCC. We performed endoscopic mucosal resection for the lesion by double-balloon endoscopy to prevent bleeding from the tumor. The patient had no melena or anemia and his condition improved after endoscopic mucosal resection. However, he died of liver failure 2 months later. S. Karger AG 2013-11-28 /pmc/articles/PMC3901617/ /pubmed/24474898 http://dx.doi.org/10.1159/000357302 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published online: November, 2013 Igawa, A. Oka, S. Tanaka, S. Nakano, M. Aoyama, T. Watari, I. Aikata, H. Arihiro, K. Chayama, K. Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title | Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title_full | Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title_fullStr | Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title_full_unstemmed | Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title_short | Small Bowel Metastasis of Hepatocellular Carcinoma Detected by Capsule Endoscopy |
title_sort | small bowel metastasis of hepatocellular carcinoma detected by capsule endoscopy |
topic | Published online: November, 2013 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901617/ https://www.ncbi.nlm.nih.gov/pubmed/24474898 http://dx.doi.org/10.1159/000357302 |
work_keys_str_mv | AT igawaa smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT okas smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT tanakas smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT nakanom smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT aoyamat smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT watarii smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT aikatah smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT arihirok smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy AT chayamak smallbowelmetastasisofhepatocellularcarcinomadetectedbycapsuleendoscopy |