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An Unusual Cause of Hematemesis in a Patient Previously Treated for Cholangiocarcinoma.

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The Korean journal of helicobacter and upper gastrointestinal research 📖 저널 OA 96.6% 2024: 4/4 OA 2025: 17/17 OA 2026: 7/8 OA 2024~2026 2025 Vol.25(4) p. 385-388
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Kim TW, Kim BW, Kim JS

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A 75-year-old woman presented with hematemesis and a history of perihilar cholangiocarcinoma treated with left lobectomy, caudate lobectomy, and Roux-en-Y hepaticojejunostomy.

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APA Kim TW, Kim BW, Kim JS (2025). An Unusual Cause of Hematemesis in a Patient Previously Treated for Cholangiocarcinoma.. The Korean journal of helicobacter and upper gastrointestinal research, 25(4), 385-388. https://doi.org/10.7704/kjhugr.2025.0061
MLA Kim TW, et al.. "An Unusual Cause of Hematemesis in a Patient Previously Treated for Cholangiocarcinoma.." The Korean journal of helicobacter and upper gastrointestinal research, vol. 25, no. 4, 2025, pp. 385-388.
PMID 41382372 ↗

Abstract

A 75-year-old woman presented with hematemesis and a history of perihilar cholangiocarcinoma treated with left lobectomy, caudate lobectomy, and Roux-en-Y hepaticojejunostomy. Esophagogastroduodenoscopy revealed a 3×3-cm polypoid lesion accompanied by active bleeding. Biopsy revealed adenocarcinoma, favoring metastasis over primary gastric cancer, considering the patient's medical history and previous endoscopic evaluations. Despite endoscopic hemostasis, anemia persisted, prompting laparoscopic wedge resection of the gastric mass. Here, we present a rare case of gastric metastasis from cholangiocarcinoma, underscoring the unusual presentation of upper gastrointestinal bleeding caused by a gastric tumor in a patient previously treated for cholangiocarcinoma.

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