Upper gastrointestinal bleeding (UGIB) is a life-threatening complication and a commonly encountered diagnosis requiring hospitalization. It is defined as bleeding proximal to the ligament of Treitz with the most common cause being peptic ulcer disease. There are multiple causes of UGIB and each of them presents its own unique diagnostic and management challenges. We present a rare case of UGIB due to endometrial adenocarcinoma metastatic to the third part of the duodenum. Most common sites of metastasis from endometrial adenocarcinoma are pelvic and paraaortic lymph nodes, and it is very rare for endometrial cancer to metastasize in gastrointestinal tract and then present as UGIB.
1Department of Hospital Medicine, Rochester General Hospital, Rochester, NY
2Department of Radiology, St. Vincent's Medical Center, Bridgeport, CT
3Department of Internal Medicine, Rochester General Hospital, Rochester, NY
4Department of Pathology, Rochester General Hospital, Rochester, NY
Correspondence: Tanveer Singh, MD, MBBS, Department of Hospital Medicine, Rochester General Hospital, 1425 Portland Ave, Rochester, NY 14621 (firstname.lastname@example.org).
Received November 02, 2018
Accepted May 10, 2019
Online date: July 22, 2019
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