Choriocarcinoma presenting with upper gastrointestinal bleeding and intussusception.
Choriocarcinomas are rare genital tract tumours, which can present with extragenital symptoms and signs. We report on an 18-year-old nulliparous woman presenting with jejunal choriocarcinoma. An outline of the diagnostic difficulties and different manifestations of extragenital choriocarcinoma is given. A high index of suspicion should be maintained and a multi-disciplinary approach is mandatory.
Popov
I
I
Medical Research Council/University of Natal Pregnancy Hypertension Research Unit, Departments of Obstetrics and Gynaecology and Surgery, Nelson R. Mandela School of Medicine, University of Natal, Durban.
Muckart
D
D
Moodley
J
J
D000293:Adolescent; D002822:Choriocarcinoma / Q000150:complications / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D007443:Intussusception / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery