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

Authors

  • Pramila Pradhan Prof and Head Department of Ob/Gyn Nepal Medical College Teaching hospital

Keywords:

choriocarcinoma, intraperitoneal haemorrhage, uterine perforation

Abstract

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:10.3126/njog.v2i1.1483

N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 71 - 73 May -June 2007

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Author Biography

Pramila Pradhan, Prof and Head Department of Ob/Gyn Nepal Medical College Teaching hospital

Pramila Pradhan. MRCOG
Prof and Head Department of Ob/Gyn
Nepal Medical College Teaching hospital Attarkhel, Kathmandu, Nepal
Email: drpramilapradhan@yahoo.com

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How to Cite

Pradhan, P. (2008). Hemoperitoneum from suspected uterine perforation: Nonsurgical management of a case of choriocarcinoma. A case report. Nepal Journal of Obstetrics and Gynaecology, 2(1), 71–73. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/1483

Issue

Vol. 2 No. 1 (2007)

Section

Case Reports

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