子宫绒毛膜癌易发生多处组织转移，最常见的是肺、脑、肝、消化道，而临床以高位小肠转移为首发症状者确为少见，且易误诊。病历摘要患者，女，24岁，已婚，因黑便半月，加重sd，伴头昏、耳鸣，收住内科。既往无溃疡病史，无呕血黑便史．月经史正常，末次月经1996年12月IO日，1 Uterine choriocarcinoma prone to multiple tissue metastases, the most common is the lung, brain, liver, digestive tract, and clinically high intestinal metastasis as the first symptom is indeed rare and easily misdiagnosed. Patient, female, 24 years old, married, due to black then half a month, increased sd, with dizziness, tinnitus, admitted to medicine. Past history of non-ulcer, vomiting no black mellitus history. Menstrual history is normal, the last menstrual December 1996 10, 1