Vereanu I, Pătraşcu T, Budu S
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1989 Nov-Dec;38(6):459-63.
The authors present the case of a female patient aged 19 years with chorionepithelioma, multiple pulmonary metastases, and an unique intestinal metastasis, complicated by severe digestive haemorrhage and haemoperitoneum. Surgery was carried out in risky conditions and consisted in segmental enterectomy and subtotal hysterectomy, and bilateral adnexectomy. The postoperative evolution was unsatisfactory, and the patient died following continued digestive bleeding, probably due to coagulation disturbances induced by prolonged loss of blood. Although the disease is encountered and treated in ob-gyn departments, the general surgeon can be confronted by such complications of this affection which may take on extremely severe aspects, and where surgery, provided that is performed sufficiently early, can save the patient's life.
作者报告了一例19岁女性绒毛膜上皮癌患者，伴有多发肺转移及一处罕见的肠转移，并并发严重消化道出血和血腹。手术在风险极高的情况下进行，包括肠段切除术、次全子宫切除术及双侧附件切除术。术后病情进展不理想，患者因持续消化道出血死亡，可能是由于长期失血导致凝血功能紊乱。尽管该病常在妇产科诊治，但普通外科医生可能会遇到这种疾病的此类并发症，其可能呈现极其严重的情况，而手术若能足够早地进行，则可挽救患者生命。
