Acute abdomen as initial presentation of gestational choriocarcinoma

Choriocarcinoma is the most malignant tumor of gestational trophoblastic neoplasia. Choriocarcinoma presenting as postpartum hemorrhage and spontaneous uterine perforation with intra-abdominal hemorrhage is very rare. We present a 29-year-old woman with spontaneous uterine rupture due to choriocarci...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2009-11, Vol.280 (5), p.859-862
Main Authors: Liberis, Vassilios, Bouchlariotou, Sofia, Ammari, Alexandros, Psillaki, Afroditi, Ntatidou, Maritsa, Sivridis, Efthimios, Dislian, Valentina, Koutlaki, Nikoleta
Format: Article
Language:English
Subjects:
Abdomen
Abdomen, Acute - diagnosis
Abdomen, Acute - pathology
Abdomen, Acute - surgery
Adult
Case Report
Choriocarcinoma - diagnosis
Choriocarcinoma - pathology
Choriocarcinoma - surgery
Chorionic Gonadotropin, beta Subunit, Human - blood
Diagnosis, Differential
Endocrinology
Female
Gynecology
Health risk assessment
Histocytochemistry
Human Genetics
Humans
Hysterectomy
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Uterine Neoplasms - diagnosis
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
Uterine Perforation - pathology
Uterine Perforation - surgery
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Summary:Choriocarcinoma is the most malignant tumor of gestational trophoblastic neoplasia. Choriocarcinoma presenting as postpartum hemorrhage and spontaneous uterine perforation with intra-abdominal hemorrhage is very rare. We present a 29-year-old woman with spontaneous uterine rupture due to choriocarcinoma following a live birth pregnancy. The long time interval (2 years) between the previous live birth pregnancy and the diagnosis of the disease, the acute onset of the disease by uterine rupture as the first symptom and the negative urine hCG test are presented and discussed in this case report.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-009-0968-5