[Choriocarcinoma presenting as a spontaneous rupture of an adrenal metastasis: a case report].
A 20-year-old woman, who had a history of childbirth, was admitted to the emergency room with an acute abdomen. An abdominal enhanced computed tomography (CT) revealed retroperitoneal hemorrhage, leading to life-threatening, and multiple tumors in the liver. Additionally, chest CT also revealed multiple coin lesions in the lung. These findings strongly indicated a spontaneous rupture of adrenal tumor. We performed exploratory laparotomy. An examination during surgery showed a rupture of adrenal tumor. En bloc resection of adrenal gland, tumor, and the kidney was performed. Pathological finding revealed the adrenal tumor was choriocarcinoma.
Hoshiyama
Fumiaki
F
Department of Urology, Tane General Hospital.
Hosokawa
Yukinari
Y
Kumamoto
Hiromi
H
Hayashi
Yoshiki
Y
Fujimoto
Kiyohide
K
Hirao
Yoshihiko
Y
D000310:Adrenal Gland Neoplasms / Q000473:pathology / Q000556:secondary*; D000328:Adult; D002822:Choriocarcinoma / Q000473:pathology*; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging; D006801:Humans; D011247:Pregnancy; D011859:Radiography; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous; D014594:Uterine Neoplasms / Q000473:pathology*