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Digestive Diseases and Sciences

, Volume 55, Issue 6, pp 1801–1802 | Cite as

Bladder Cancer Metastasis to Duodenum: An Unusual Presentation of Obscure GI Bleed

  • M. Girotra
  • N. Jani
Correspondence

To the Editor:

In reference to a case report published in your journal entitled, “Bladder Cancer presenting as Lower GI Bleed,” by Kumar et al. [1], we encountered a patient with bladder cancer metastasis to the duodenum, the first of its kind in English literature, which is the basis of our correspondence.

An 80-year-old man, with history of bladder cancer diagnosed 4 years earlier, presented with malaise, dizziness and shortness of breath. He noticed dark colored stools, with increased frequency, but denied hematochezia, coffee ground emesis, weight changes or abdominal pain. There was no significant family history and his home medications included vitamins and iron supplements. On examination, he appeared pale but had no other significant physical findings. Laboratory investigations revealed hemoglobin of 5.4 g/dl and normal electrolytes, but a positive stool hemoccult. He had undergone an upper endoscopy and colonoscopy 1 month earlier for anemia, which were essentially normal....

Keywords

Bladder Cancer Radical Cystectomy Transitional Cell Carcinoma Double Balloon Endoscopy Coffee Ground Emesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Kumar N, Raju M, Fass R. Bladder cancer presenting as lower GI bleed. Dig Dis Sci. 2008;54(9):2047–2048Google Scholar
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    Zhang ZF, Steineck G. Epidemiology and etiology of bladder cancer. In: Leibel SA, Scher HI, Lange P, eds. Principles and Practice of Genitourinary Oncology. Philadelphia: Lippincott-Raven; 1997:215.Google Scholar
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    Babaian RJ, Johnson DE, Llamas L. Metastases from transitional cell carcinoma of urinary bladder. Urology. 1980;16(2):142–144.CrossRefPubMedGoogle Scholar
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    Richie RE, Reynolds VH, Sawyers JL. Tumor metastases to the small bowel from extra-abdominal sites. South Med J. 1973;66:1383–1387.PubMedGoogle Scholar
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    Arakawa D, Ohmiya N, Nakamura M, et al. Outcome after enteroscopy for patients with obscure GI bleeding: diagnostic comparison between double-balloon endoscopy and videocapsule endoscopy. Gastrointest Endosc. 2009;69(4):866–874.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of MedicineJohns Hopkins University/Sinai HospitalBaltimoreUSA
  2. 2.Division of GastroenterologySinai Hospital of BaltimoreBaltimoreUSA

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