Small bowel metastasis from malignant tumors is generally rare and underreported. Numerous cases might be overlooked. Direct spread is more frequent and comes from colon, ovary, stomach, and uterus. Less commonly, hematogenous distant metastasis from melanoma, lung, and breast is encountered. Melanoma represents the most frequent primary source, while uterus is a less common source. In this report, we present a case of small bowel metastatic tumor from uterus presenting with profound anemia and impending obstruction.

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