Kumar Shiyam, Raouf Zaid R, Saparamadu P A M, Burney Ikram A
Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.
Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Oman Med J. 2018 Nov;33(6):527-530. doi: 10.5001/omj.2018.96.
Choriocarcinoma of the ovary is a rare neoplasm and tends to metastasize early to involve the lungs, brain, and liver. Metastasis to the gastrointestinal tract is rare. We report the case of a young lady, who presented with life-threatening gastrointestinal bleeding, secondary to jejunal involvement. The site of bleeding was localized using a computed tomography angiogram following inconclusive upper and lower gastrointestinal endoscopies. The bleeding jejunal segment was resected and the metastatic disease responded to combination chemotherapy. Metastatic choriocarcinoma of the ovary should be considered a possible diagnosis in patients presenting with gastrointestinal bleeding.
卵巢绒毛膜癌是一种罕见的肿瘤，往往早期发生转移，累及肺、脑和肝脏。转移至胃肠道的情况较为罕见。我们报告了一例年轻女性病例，该患者因空肠受累出现危及生命的胃肠道出血。在上下消化道内镜检查结果不明确后，通过计算机断层血管造影确定了出血部位。切除了出血的空肠段，转移性疾病对联合化疗有反应。对于出现胃肠道出血的患者，应考虑卵巢转移性绒毛膜癌的可能诊断。
