Metastasis of hepatocellular carcinoma to the right colon manifested by gastrointestinal bleeding

Am Surg. 1999 Mar;65(3):218-21.


An 82-year-old black woman with a history of hepatocellular carcinoma presented with gastrointestinal bleeding. Barium enema and fibrocolonoscopy revealed a 4-cm polypoid mass at the level of the ascending colon with evidence of active bleeding. Biopsies of the lesion proved it to be metastatic hepatocellular carcinoma. Exploratory laparotomy revealed no further dissemination of the tumor, and the patient underwent an ileocolectomy. The serosal side of the colonic lesion was free from tumor, and there was no peritoneal implantation, direct extension, or lymph node involvement. This case represents an extremely rare presentation of metastatic hepatocellular carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Carcinoma, Hepatocellular / complications*
  • Carcinoma, Hepatocellular / secondary*
  • Colonic Neoplasms / complications*
  • Colonic Neoplasms / secondary*
  • Female
  • Gastrointestinal Hemorrhage / etiology*
  • Humans
  • Liver Neoplasms / pathology*