Revoredo Rego Fernando, Alvarez Baca David, Benavides Samamé Alejandro, Cruzado Villanueva Carla, Lloclla Kano Patricia
Servicio de Cirugía B, Hospital Nacional Hipólito Unanue.
Rev Gastroenterol Peru. 2010 Jul-Sep;30(3):232-7.
Choriocarcinoma is a highly vascularized gestational trophoblastic neoplasia, and has a propensity to metastasize hematogenously. Hepatic metastases are less common and spontaneous rupture of them results in a hemoperitoneum. We present a case of a young female with liver metastases from choriocarcinoma, who had severe haemorrhage and died after the second laparotomy. The possibility of choriocarcinoma should be suspected in women of child bearing age who present liver metastases. Because of the high risk oh haemorrhage, liver biopsy should be deferred until HCG has been measured.
