title: Bilateral renal and jejunal metastasis of choriocarcinoma presenting as spontaneous renal hemorrhage.
abstract: Spontaneous renal hemorrhage (SRH) is a difficult diagnostic problem with various causes. We report a case of SRH and episodic gross hematuria in a patient with metastatic choriocarcinoma involving both kidneys for which successful angioembolization was carried out for control of hemorrhage. There was no evidence of primary uterine tumor and pulmonary or liver involvement. The patient developed gastrointestinal bleeding due to jejunal metastasis while on chemotherapy and surgical resection of the involved segment was carried. However, the patient acquired nosocomial pneumonia and succumbed to sepsis in the postoperative period.
authors.affiliation: Department of Radio-diagnosis, Post Graduate Institute of Medical Education and Research, Sector 12, 160012 Chandigarh, India. dralal@rediffmail.com
authors.forename: A
authors.initials: A
authors.lastname: Lal
authors.forename: M
authors.initials: M
authors.lastname: Singhal
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: S
authors.initials: S
authors.lastname: Bag
authors.forename: S K
authors.initials: SK
authors.lastname: Singh
authors.forename: N
authors.initials: N
authors.lastname: Khandelwal
mesh_terms: D002822:Choriocarcinoma / Q000150:complications / Q000473:pathology*; D003428:Cross Infection; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005260:Female; D006417:Hematuria / Q000209:etiology / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology* / Q000473:pathology; D009362:Neoplasm Metastasis; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology*