RT Journal Article
SR Electronic
T1 Successful pregnancy after localized resection of perforated uterus in choriocarcinoma and a literature review
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 445
OP 448
DO 10.1136/ijgc-00009577-200602001-00084
VO 16
IS Suppl 1
A1 Behtash, N.
A1 Ansari, S.
A1 Sarvi, F.
YR 2006
UL http://ijgc.bmj.com/content/16/Suppl_1/445.abstract
AB Choriocarcinoma is an aggressive neoplasm arising in the body of the uterus. Rapid growth and myometrial invasion may be followed by uterine perforation. In this study, we present the cases of two young patients (18 and 19 years of age) with acute abdominal pain and shock, while they were under chemotherapy due to persistent trophoblastic disease. During emergent exploratory laparotomy, localized resection of uterus was performed. They had their first successful term pregnancy 5 and 4 years after surgery, respectively. Uterine perforation following choriocarcinoma is a rare event. Hysterectomy is recommended in emergency conditions, but localized resection of uterus should be considered in women who are desirous of future fertility.