Upper Gastrointestinal Bleeding Caused by Hepatocellular Carcinoma Invasion to Stomach And Duodenum: A Rare Case Report

Triyanta Yuli Pramana, Yoga Mulia Pratama, Paulus Kusnanto, Aritantri Darmayani, Didik Prasetyo, Agus Jati Sunggoro, Agus Raharjo, Oyong Oyong, Ifada Indriyani


Hepatocellular carcinoma (HCC) can invade the gastrointestinal (GI) tract and cause GI bleeding. Although HCC invasion to the GI tract is rare, its prognosis is very poor. Here, we reported a 67-year-old man with GI bleeding manifestation. Esophagogastroduodenoscopy (EGD) showed lesions in gaster and duodenal, while abdominal CT confirm a solid epigastric mass with invasion to gaster. We performed a laparotomy biopsy, while the diagnosis of HCC was established by histopathological and IHC studies. Because of its difficulty to diagnose and its ability to masquerade as other GI bleeding, it is important to increase awareness about the issue.


Hepatocellular Carcinoma, Gastrointestinal Bleeding, Gastrointestinal Invasion

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