Choriocarcinoma complicated by a vaginal fistula, sepsis and hemorrhagic shock. Case report.
A case of poor prognostic choriocarcinoma developing sepsis is described. The patient was treated with vaginal drainage of pelvic abscess metastases, bilateral hypogastric artery ligation to prevent hemorrhage and single-agent chemotherapy.
Murta
E F C
EF
Discipline of Gynecology and Obstetrics, Federal University of "Triângulo Mineiro" (FTM), Uberaba, MG, Brazil.
Nomelini
R S
RS
Rua
A M O
AM
Adad
S J
SJ
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001938:Brazil; D002822:Choriocarcinoma / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D011247:Pregnancy; D018570:Risk Assessment; D018805:Sepsis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012771:Shock, Hemorrhagic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014594:Uterine Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014624:Vaginal Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
D000900:Anti-Bacterial Agents