Choriocarcinoma with uterine rupture presenting as acute haemoperitoneum and shock

Authors

  • Mamour Gueye Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Mame Diarra Ndiaye Gueye Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Ousmane Thiam Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Youssou Toure Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Mor Cisse Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Mouhamadou Wade Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Aliou Diouf Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Magatte Mbaye Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal
  • Jean Charles Moreau Department of Obstetrics and Gynecology, Aristide Le Dantec Teaching Hospital, Pasteur Avenue, Cheikh Anta Diop University, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20170603

Keywords:

Choriocarcinoma, Haemoperitoneum, Uterine rupture

Abstract

Choriocarcinoma is a rare neoplasm and a malignant form of gestational trophoblastic disease. Invasive mole may perforate uterus through the myometrium resulting in uterine perforation and intraperitoneal bleeding. But uterine perforation due to choriocarcinoma is rare. We present a case of a young woman who presented 1 year after uterine evacuation of a molar pregnancy with invasive choriocarcinoma complicated by a uterine rupture and haemoperitoneum.

Metrics

Metrics Loading ...

References

Alazzam M, Tidy J, Osborne R, Coleman R, Hancock BW, Lawrie TA. Chemotherapy for resistant or recurrent gestational trophoblastic neoplasia. Cochrane Database Syst Rev 2012.

Biscaro A, Braga A, Berkowitz RS. Diagnosis, classification and treatment of gestational trophoblastic neoplasia. Rev Bras Ginecol Obstet. 2015;37(1):42-51.

Lok CA, Ansink AC, Grootfaam D, van der Velden J, Verheijen RH, ten Kate-Booij MJ. Treatment and prognosis of post term choriocarcinoma in The Netherlands. Gynecologic Oncology. 2006;103:698-702.

Behtash N, Ansari S, Sarvi F. Successful pregnancy after localized resection of perforated uterus in choriocarcinoma and a literature review. Int Immuno J Gynecol Cancer. 2006;16:445-8.

Mackenzie F, Mathers A, Kennedy J. Invasive hydatidiform mole presenting as an acute primary haemoperitoneum. Br J Obstet Gynecol. 1993;100:953-4.

Agarwal M, Kumar R, Pyrbot J, Singh AS. Choriocarcinoma with Uterine Rupture and Shock: A Rare Case Report. Journal of Clinical and Diagnostic Research. 2015;9(10):ED20-ED1.

FIGO Oncology Committee. FIGO staging for gestational trophoblastic neoplasia. Int J Gynaecol Obstet. 2002;77:285-7.

Goto S, Ino K, Mitsui T, Kikkawa F, Suzuki T, Nomura S, et al. Survival rates of patients with choriocarcinoma treated with chemotherapy without hysterectomy: effects of anti cancer agents on subsequent births. Gynecol Oncol. 2004;93:529-35.

Downloads

Published

2017-02-19

How to Cite

Gueye, M., Gueye, M. D. N., Thiam, O., Toure, Y., Cisse, M., Wade, M., Diouf, A., Mbaye, M., & Moreau, J. C. (2017). Choriocarcinoma with uterine rupture presenting as acute haemoperitoneum and shock. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(3), 1141–1143. https://doi.org/10.18203/2320-1770.ijrcog20170603

Issue

Section

Case Reports