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Case Reports in Oncological Medicine
Volume 2016 (2016), Article ID 7620205, 4 pages
http://dx.doi.org/10.1155/2016/7620205
Case Report

Chemotherapy Used to Halt Lower GI Bleeding in a Rare Case of Metastatic Choriocarcinoma to the GI Tract

1Saint Joseph University, Beirut, Lebanon
2American University of Beirut, Beirut, Lebanon
3Morehouse School of Medicine, Atlanta, GA 30310, USA
4New York Medical College, Valhalla, NY 10595, USA
5Emory University, Atlanta, GA 30322, USA

Received 28 November 2015; Revised 3 June 2016; Accepted 8 June 2016

Academic Editor: Raffaele Palmirotta

Copyright © 2016 Ralph Kamel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Choriocarcinoma, a nonseminomatous germ cell tumor, is a rare type of testicular malignancy that tends to occur in young males. It is, however, exceedingly rare for choriocarcinoma to involve the GI tract. In this article, we present a rare case of a 31-year-old male, diagnosed with choriocarcinoma of the left testes, along with several metastases to distant sites. The patient presented with headaches and severe lower GI bleeding due to metastases to the GI tract, which was eventually controlled with systemic chemotherapy, while requiring several units of packed RBCs during his admission to the hospital. An extensive literature review found very few cases of the occurrence of GI bleeding as a consequence of choriocarcinoma due to metastases to the GI tract.