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

An 82-year-old black woman with a history of hepatocellular carcinoma prese nted with gastrointestinal bleeding. Barium enema and fibrocolonoscopy reve aled 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 hepa tocellular carcinoma. Exploratory laparotomy revealed no further disseminat ion of the tumor, and the patient underwent an ileocolectomy. The serosal s ide of the colonic lesion was free from tumor, and there was no peritoneal implantation, direct extension, or lymph node involvement. This case repres ents an extremely rare presentation of metastatic hepatocellular carcinoma.