Choriocarcinoma with Uterine Rupture and Shock: A Rare Case Report

Abstract

A 28-year-old P2 was admitted with complaints of amenorrhea for 4 months with irregular bleeding per vaginum. She had complaints of difficulty in breathing and abdominal distension since 4 days. Urine for pregnancy test was positive. She had Hb of 3.5gm%. White blood count, platelets, coagulation profile, liver function tests and renal function tests were normal. Ultrasound showed grossly enlarged mass with miscellaneous echogenic shadows in the myometrium with loss of endometrial junction, multi cystic ovaries with massive ascites and a diagnosis of Gestational Trophoblastic Disease (GTD) was made. Her last child birth was 2 years back and she did not have any history of abortion or molar pregnancy in the past. The patient had features of hypovolemic shock with anaemia. She had received three units of blood transfusion and was on ionotropic support. Then the patient was referred to our institute for further management.

Choriocarcinoma with uterine rupture presenting as acute haemoperitoneum and shock

“…6 As Goto et al mentioned, hysterectomy is not needed to cure choriocarcinoma. Selective embolization of the major pelvic blood supply to the tumour can be performed by interventional radiology.…”