Jejunal Metastasis from Hepatocellular Carcinoma

A 76-year-old man with hepatocellular carcinoma associated with alcoholic cirrhosis was hospitalized for lightheadedness and melena. He had undergone multiple surgeries and had been treated with transcatheter arterial chemoembolization and sorafenib. Neither upper nor lower gastrointestinal endoscop...

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Detalles Bibliográficos
Autores principales: Kanazawa, Mimari, Sugaya, Takeshi, Tominaga, Keiichi, Takahashi, Fumiaki, Takenaka, Kazuhiro, Nakano, Masakazu, Hiraishi, Hideyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919850/
https://www.ncbi.nlm.nih.gov/pubmed/29269667
http://dx.doi.org/10.2169/internalmedicine.9625-17
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author Kanazawa, Mimari
Sugaya, Takeshi
Tominaga, Keiichi
Takahashi, Fumiaki
Takenaka, Kazuhiro
Nakano, Masakazu
Hiraishi, Hideyuki
author_facet Kanazawa, Mimari
Sugaya, Takeshi
Tominaga, Keiichi
Takahashi, Fumiaki
Takenaka, Kazuhiro
Nakano, Masakazu
Hiraishi, Hideyuki
author_sort Kanazawa, Mimari
collection PubMed
description A 76-year-old man with hepatocellular carcinoma associated with alcoholic cirrhosis was hospitalized for lightheadedness and melena. He had undergone multiple surgeries and had been treated with transcatheter arterial chemoembolization and sorafenib. Neither upper nor lower gastrointestinal endoscopy detected the source of bleeding. Oral double-balloon enteroscopy revealed a mass lesion in the upper jejunum, 20 cm from the Treitz ligament on the anal side, which was identified as the source of bleeding. Subsequently, a biopsy was performed. A histopathological examination detected a hepatocellular carcinoma, and a final diagnosis of jejunal metastasis from hepatocellular carcinoma was established.
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spelling pubmed-59198502018-04-27 Jejunal Metastasis from Hepatocellular Carcinoma Kanazawa, Mimari Sugaya, Takeshi Tominaga, Keiichi Takahashi, Fumiaki Takenaka, Kazuhiro Nakano, Masakazu Hiraishi, Hideyuki Intern Med Case Report A 76-year-old man with hepatocellular carcinoma associated with alcoholic cirrhosis was hospitalized for lightheadedness and melena. He had undergone multiple surgeries and had been treated with transcatheter arterial chemoembolization and sorafenib. Neither upper nor lower gastrointestinal endoscopy detected the source of bleeding. Oral double-balloon enteroscopy revealed a mass lesion in the upper jejunum, 20 cm from the Treitz ligament on the anal side, which was identified as the source of bleeding. Subsequently, a biopsy was performed. A histopathological examination detected a hepatocellular carcinoma, and a final diagnosis of jejunal metastasis from hepatocellular carcinoma was established. The Japanese Society of Internal Medicine 2017-12-21 2018-04-01 /pmc/articles/PMC5919850/ /pubmed/29269667 http://dx.doi.org/10.2169/internalmedicine.9625-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kanazawa, Mimari
Sugaya, Takeshi
Tominaga, Keiichi
Takahashi, Fumiaki
Takenaka, Kazuhiro
Nakano, Masakazu
Hiraishi, Hideyuki
Jejunal Metastasis from Hepatocellular Carcinoma
title Jejunal Metastasis from Hepatocellular Carcinoma
title_full Jejunal Metastasis from Hepatocellular Carcinoma
title_fullStr Jejunal Metastasis from Hepatocellular Carcinoma
title_full_unstemmed Jejunal Metastasis from Hepatocellular Carcinoma
title_short Jejunal Metastasis from Hepatocellular Carcinoma
title_sort jejunal metastasis from hepatocellular carcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919850/
https://www.ncbi.nlm.nih.gov/pubmed/29269667
http://dx.doi.org/10.2169/internalmedicine.9625-17
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