Koop Andree, Brauhmbhatt Bhaumik, Lewis Jason, Lewis Michele D
Department of Internal Medicine, Mayo Clinic, Jacksonville, FL.
Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL.
ACG Case Rep J. 2017 Mar 29;4:e47. doi: 10.14309/crj.2017.47. eCollection 2017.
We present a rare case of gastrointestinal (GI) bleeding associated with metastatic prostate adenocarcinoma to the stomach. Prostate cancer, which is the most common noncutaneous malignancy among men, rarely spreads to the stomach, with only 7 cases reported in the English literature. Symptoms may include abdominal pain, nausea, vomiting, and GI bleeding. Our patient was treated with epinephrine injection and bipolar cautery, but GI bleeding recurred 7 months later when he had worsening of his thrombocytopenia while using ibuprofen.
我们报告了一例罕见的与转移性前列腺腺癌累及胃部相关的胃肠道(GI)出血病例。前列腺癌是男性中最常见的非皮肤恶性肿瘤,很少转移至胃部,英文文献中仅报道过7例。症状可能包括腹痛、恶心、呕吐和胃肠道出血。我们的患者接受了肾上腺素注射和双极电凝治疗,但7个月后,当他在使用布洛芬时血小板减少症加重,胃肠道出血再次复发。