Gastrointestinal hemorrhage as the first manifestation of metastatic choriocarcinoma in a male patient

Abstract

Introduction: Choriocarcinoma is a malignant tumor, it is more frequent in the female sex, rarely reported in the male sex. Clinical case: A 19-year-old male patient who was admitted with hematochezia and melenic evacuations, panendoscopy and colonoscopy were performed without documenting the bleeding site, exploratory laparotomy was performed finding tumor lesion in the jejunum, the histopathological examination reported Choriocarcinoma. Conclusions: Gastrointestinal bleeding as a presentation of choriocarcinoma is sometimes the only symptom that the patient presents. Metastatic choriocarcinoma to the gastrointestinal tract is rare, which makes the suspected diagnosis poor.