Concomitant Gastric and Duodenal Metastases From Cervical Cancer Presenting With Upper Gastrointestinal Bleeding: A Rare Case

Upper gastrointestinal bleed is a frequent medical emergency, which may arise from multiple pathologies. Metastatic lesions to the stomach and duodenum, although rare, may be an underlying cause. Specifically, metastasis from a primary cervical malignancy is extremely infrequent, with only a few cases reported in the literature. In addition, concomitant metastatic lesions in the stomach and duodenum from cervical cancer have not been reported yet. We present the case of a 46-year-old female patient known to have cervical squamous cell carcinoma, metastatic to the lungs, bone, and liver, presenting for melena and hematemesis. Endoscopy revealed ulcerating mass lesions in the stomach and duodenum, confirmed as metastatic epidermoid carcinoma on pathology. Hence, metastasis to the stomach and the duodenum should be kept in mind in a patient with cervical cancer presenting with upper gastrointestinal symptoms.