Brief report| Volume 77, ISSUE 1, P152-154, January 2013

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An unusual cause of lower GI bleeding in a young woman: metastatic gestational choriocarcinoma

Published:March 15, 2012DOI:
      A 31-year-old woman was referred to our department for massive lower GI bleeding. She had undergone a cesarean section 1 month previously because of fetal distress at 8 months of pregnancy. At 6 months of pregnancy she had had a vaginal bleed that spontaneously subsided. During the cesarean section she had greater than expected blood loss, for which the cause could not be ascertained. After delivery, she had a low-grade fever for 20 days, which was empirically treated as enteric fever, and she then experienced massive lower GI bleeding.


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        • Lurain J.R.
        Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole.
        Am J Obstet Gynecol. 2010; 203: 531-539
        • Smith H.O.
        • Kohorn E.
        • Cole L.A.
        Choriocarcinoma and gestational trophoblastic disease.
        Obstet Gynecol Clin North Am. 2005; 32: 661-684
        • Bentley R.C.
        Pathology of gestational trophoblastic disease.
        Clin Obstet Gynecol. 2003; 46: 513-522
        • Chaturvedi M.
        • Vaideeswar P.
        • Pandit A.A.
        Metastatic choriocarcinoma: an unusual cause of severe anaemia.
        J Postgrad Med. 2005; 51: 230-231
        • Mitták M.
        • Samlík J.
        • Satinský L.
        • et al.
        Metastatic choriocarcinoma as a cause of hemorrhage in the digestive tract and abdominal cavity.
        Rozhl Chir. 2001; 80: 538-540
        • Ohta H.
        • Nemoto K.
        • Nozawa S.
        • et al.
        An unusual remission case of metastatic choriocarcinoma to the intestine presenting as rectal bleeding.
        Nippon Sanka Fujinka Gakkai Zasshi. 1989; 41: 919-922