Department of General Surgery, Manisa Celal Bayar University, Manisa-Türkiye.
Department of Obstetrics and Gynecology, Manisa Celal Bayar University, Manisa-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Oct;30(10):771-773. doi: 10.14744/tjtes.2024.57242.
Intestinal choriocarcinoma is a very rare phenomenon. This is the first reported case of intestinal choriocarcinoma following an ectopic pregnancy. We report a 24 year-old woman who presented with severe abdominal pain, distension, and vomiting. She had a history of an ectopic pregnancy nine months prior. Emergent laparotomy exploration revealed abscess formation and obstructions at two sites in the small intestine, with unremarkable gynecological organs. The obstructed sections of the intestinal were excised and subsequently diagnosed as intestinal choriocarcinoma in histopathological evaluation. Postoperative positron emission tomography (PET) revealed a non-contrast-enhancing lesion on the small intestinal wall with increased metabolic activity consistent with healing tissue at the anastomosis site. No other primary focus and/or metastatic lesions were detected. Multi-agent chemotherapy was planned for the patient. No residual and/or recurrent tumoral lesions were detected on the PET scan at the one-year follow-up.
肠绒毛膜癌是一种非常罕见的现象。这是首例报道的宫外孕后继发肠绒毛膜癌。我们报告了一例 24 岁女性，因剧烈腹痛、腹胀和呕吐就诊。她在 9 个月前有过宫外孕病史。急诊剖腹探查显示在小肠的两个部位形成脓肿并发生梗阻，妇科器官无明显异常。梗阻的肠段被切除，组织病理学评估诊断为肠绒毛膜癌。术后正电子发射断层扫描（PET）显示小肠壁上有一个非增强性病变，伴有吻合部位愈合组织的代谢活性增加。未发现其他原发病灶和/或转移病灶。计划为患者进行多药物化疗。在一年的随访时，PET 扫描未发现残留和/或复发性肿瘤病变。
