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

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....


Bladder Cancer Radical Cystectomy Transitional Cell Carcinoma Double Balloon Endoscopy Coffee Ground Emesis 
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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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