J Korean Radiol Soc.  2003 Jan;48(1):65-68. 10.3348/jkrs.2003.48.1.65.

Hemoptysis and Hemoperitoneum due to Metastatic Gestational Choriocarcinma: Bronchial Artery Embolization and Superselective Splenic Artery Embolization: A Case Report

• Shin TB
• Seong CK
• Park BH
• Yoon SK
• Kim CS
• Lee JH
• Oh JY
• Kim YJ
• Kim YH

• KMID: 2103704
• DOI: http://doi.org/10.3348/jkrs.2003.48.1.65

Abstract

Gestational choriocarcinoma is easily disseminated hematogenously and its hypervascular nature places the patient at risk of significant hemorrhage both at the sites of metastatic lesions and in the uterus. In addition, its tends to give rise to pseudoaneurysm formation. Treatment of the condition by percutaneous embolization has been reported in several published articles, and hemoperitoneum secondary to rupture of splenic metastasis of gestational choriocarcinoma has also been reported, as has angiographic embolization. Hemoptysis resulting from pulmonary metastasis and treatment by means of embolization of the bronchial artery have not been reported, however. In this article, we describe a case of hemoptysis and hemoperitoneum due to pulmonary and splenic metastasis of gestational choriocarcinoma. Treatment of the condition involved embolization of the bronchial artery and superselective embolization of the splenic artery.

Keyword

Uterine neoplasms, angiography; Uterine neoplasms, CT; Genitourinary system, interventional procedure; Spleen, neoplasms

MeSH Terms

Aneurysm, False
Bronchial Arteries*
Choriocarcinoma
Female
Hemoperitoneum*
Hemoptysis*
Hemorrhage
Humans
Neoplasm Metastasis
Pregnancy
Rupture
Splenic Artery*
Uterus