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Gastrointestinal bleeding and cutaneous nodules: Baylor Sammons Cancer Center at Dallas Site Tumor Conference: presented at the gastrointestinal tumor conference on January 17, 2008.(Case study)

A 58-year-old man with a past medical history of hepatitis C and hypertension was referred to Baylor University Medical Center to evaluate occult gastrointestinal bleeding with double-balloon endoscopy. Before coming to Baylor, he complained of fatigue, shortness of breath, and noted melena. Upper endoscopy and colonoscopy were unrevealing. Capsule endoscopy at the outside hospital suggested a proximal bleed in the small bowel. Imaging included an ultrasound that showed a 6-mm common bile duct with cholelithiasis and an angiogram with findings of a proximal jejunal blush suggestive of the site of bleeding. At the outside hospital, he had an initial hematocrit of 23% and ...

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