Hemoperitoneum from suspected uterine perforation: Nonsurgical management of a case of choriocarcinoma. A case report

摘要

Normal 0 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} A case of choriocarcinoma presented as an acute abdomen because of intraperitoneal haemorrhage from uterine perforation, 4 weeks after second and 11 weeks following first suction evacuation with high serum hCG level and metastases to vagina and lungs. Once the uterine perforation occurs following gestational trophoblastic neoplasia, immediate laparotomy has been performed usually followed either by local resection or hysterectomy depending on situation. This case is an exception, which was conservatively managed by chemotherapy, EMA-CO regime successfully with no remission on follow up. Keywords: choriocarcinoma, intraperitoneal haemorrhage, uterine perforation. doi:10.3126jog.v2i1.1483 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 71 - 73 May -June 2007