Recurrence of urothelial carcinoma. An unusual cause of upper gastrointestinal bleeding.

Gastrointestinal metastases of urothelial tumors are rare, implying an advanced stage of the disease and a poor prognosis. We report the case of a patient with a history of urothelial carcinoma in remission who presents with upper gastrointestinal bleeding secondary to gastric metastases due to tumor recurrence and we review recent literature on this topic.

Acquired chronic hepatocerebral degeneration (CAHD) - Simulation of parkinsonism, secondary to chronic liver disease.

Acquired chronic hepatocerebral degeneration (CAHD) is a rare and irreversible neurological disorder that can occur in patients with chronic liver disease. It is characterized by neurological symptoms similar to parkinsonism and the presence of brain damage secondary to manganese deposition. We present the case of a 60-year-old patient with episodes of recurrent hepatic encephalopathy and diagnosis of CAHD.