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Ann Hepatobiliary Pancreat Surg. 2018 Feb;22(1):79-82. English. Case Report. https://doi.org/10.14701/ahbps.2018.22.1.79
Aloysius TM , Shelat VG .
Department of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore. aloysius.tan@mohh.com.sg
Abstract

Gestational choriocarcinoma is a rare and aggressive type of gestational trophoblastic neoplasia, which is characterized by early vascular invasion and widespread metastases. Choriocarcinoma metastasizes hematogenously, and bleeding from metastases is common. Splenic rupture from a metastatic tumour is exceedingly rare, with only a few reports. We report a case of a 41-year-old female presenting with acute abdomen and haemorrhagic shock secondary to splenic rupture from metastatic choriocarcinoma, which was managed with emergency laparoscopic splenectomy.

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