[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.
Department of Urology, Tane General Hospital.
Fumiaki
F
Hoshiyama
Yukinari
Y
Hosokawa
Hiromi
H
Kumamoto
Yoshiki
Y
Hayashi
Kiyohide
K
Fujimoto
Yoshihiko
Y
Hirao
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*