Cesar Ramos-Matamoros, Department of Gastroenterology and Digestive Endoscopy, University Hospital Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
Luis A. Gonzalez-Torres, Department of Gastroenterology and Digestive Endoscopy, University Hospital Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
María F. Castillo-Martínez, Department of Gastroenterology and Digestive Endoscopy, University Hospital Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico
José A. González-González, Department of Gastroenterology and Digestive Endoscopy, University Hospital Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico

We present the case of a 65-year-old man with a history of alcoholic liver disease and hepatocellular carcinoma (HCC) treated with transarterial chemoembolization three years ago, with no follow-up. He presented to the emergency department with abdominal pain, weight loss, melena, and hematemesis. Endoscopy showed a mass infiltrating the lesser curvature of the stomach, confirmed by biopsy as metastatic HCC. CT scan revealed HCC infiltration into the stomach. The patient was discharged voluntarily and was lost to follow-up. HCC invades the gastrointestinal tract in 0.2-2% of cases, and treatment could include surgery and systemic therapy.

Keywords: Hepatocarcinoma. Estómago. Endoscopia. Cirrosis. Sangrado digestivo.