title: [Metastatic choriocarcinoma associated with Wunderlich syndrome: case report and literature review].
abstract: Choriocarcinoma is a rare condition, with an incidence of 1 in 30 to 40,000 pregnancies in the United States and Europe. In Mexico it is reported in 1 in 10,000 pregnancies. Wunderlich syndrome is a spontaneous perirenal hematoma, a very rare entity. This paper reports the case of a young patient with a history of molar pregnancy one year prior to admission, valuation due to fainting, generalized headache, spontaneous pain in the right flank and data of hypovolemic shock. Computed tomography reported right perirenal hematoma, normal uterus, two annexes with data of tecaluteinic cysts, beta human chorionic gonadotropin greater than 200,000 IU/mL. Patient was stabilized with crystalloid, blood products and right adrenal artery embolization. It was corroborated the brain, mediastinum and abdomen metastases. She was sent to a third level hospital, starting holocraneal radiotherapy, she had retroperitoneal bleeding and died a week later.
authors.forename: Roberto Carlos
authors.initials: RC
authors.lastname: Ojendiz-Nava
authors.forename: Danniela
authors.initials: D
authors.lastname: Niebla-Cárdenas
authors.forename: Sara Elia
authors.initials: SE
authors.lastname: Hernández-Flores
authors.forename: Jorge Román
authors.initials: JR
authors.lastname: Audifred-Salomón
authors.forename: Ana Lilia
authors.initials: AL
authors.lastname: Morales-Leyte
mesh_terms: D000293:Adolescent; D002822:Choriocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000473:pathology; D009362:Neoplasm Metastasis; D011247:Pregnancy; D013577:Syndrome; D014057:Tomography, X-Ray Computed