A patient with one previous term delivery presented with spontaneous uterine perforation due to choriocarcinoma (CC), requiring emergency hysterectomy due to hemoperitoneum. This tumor appears to follow a more aggressive course with extensive metastatic spread. The CC presenting as a spontaneous uterine perforation with intraabdominal hemorrhage is an extremely rare and life-threatening condition. It should be considered in the differential diagnoses of patients in the reproductive phase with a history of recent pregnancy having acute abdomen with hemoperitoneum. Early diagnosis and aggressive chemotherapy is important for patient survival. The patient should be closely followed up for a better outcome.
Keywords: Choriocarcinoma, Term pregnancy, Uterine perforation.
How to cite this article: Bagga GG, Chavan R, Pajai S, Nandu V. A Rare Case of Spontaneous Uterine Perforation with Hemoperitoneum after Normal Pregnancy due to Choriocarcinoma. J South Asian Feder Obst Gynae 2017;9(2):124-126.
Source of support: Nil
Conflict of interest: None
Date of received: 24 December 2016
Date of acceptance: 8 January 2017
Date of publication: March 2017