Erb R E, Gibler W B
Section of Surgical Sciences, Vanderbilt University School of Medicine, Nashville, TN.
Am J Emerg Med. 1989 Mar;7(2):196-8. doi: 10.1016/0735-6757(89)90138-1.
Spontaneous massive hemoperitoneum in a reproductive-aged woman is usually associated with ectopic pregnancy. An unusual cause of intraperitoneal hemorrhage is presented: spontaneous rupture of hepatic metastases from unsuspected choriocarcinoma in a 29-year-old woman 4 weeks postpartum. Although choriocarcinoma is known to have the potential for subsequent hemorrhage of secondary sites, massive hemoperitoneum due to rupture of hepatic metastases is rare. In this case report, the presentation, prognosis groups, and treatment modalities are presented.
育龄期女性自发性大量腹腔积血通常与异位妊娠有关。本文介绍了一种不常见的腹腔内出血原因：一名29岁产后4周的女性，其未被怀疑的绒毛膜癌肝转移灶自发性破裂。虽然已知绒毛膜癌有继发部位随后出血的可能性，但肝转移灶破裂导致大量腹腔积血的情况罕见。在本病例报告中，介绍了其临床表现、预后分组及治疗方式。
