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International Journal of Gynecology & Clinical Practices Volume 3 (2016), Article ID 3:IJGCP-118, 3 pages
http://dx.doi.org/10.15344/2394-4986/2016/118
Case Report
Choriocarcinoma, A Rare Cause of Antepartum and Postpartum Haemorrhage, Report of A Case and Review of Literature

Frederick Hobenu1, Simon Naporo2, Leonard Derkyi-Kwarteng3 and Patrick Kafui Akakpo3*

1Department of Pathology 37 Millitary Hospital, Accra, Ghana
2Department of Pathology, College of Health Sciences, University of Ghana Medical School Korle-Bu Teaching Hospital, Accra, Ghana
3Department of Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana
Dr. Patrick Kafui Akakpo, Department of Pathology, School of Medical Sciences, University of Cape Coast, Ghana; E-mail: k.p.akakpo@uccsms.edu.gh
06 February 2016; 17 May 2016; 19 May 2016
Hobenu F, Naporo S, Derkyi-Kwarteng L, Akakpo PK (2016) Choriocarcinoma, A Rare Cause of Antepartum and Postpartum Haemorrhage, Report of A Case and Review of Literature. Int J Gynecol Clin Pract 3: 118. doi: http://dx.doi.org/10.15344/2394-4986/2016/118

Abstract

Objective: To present a case of choriocarcinoma as a cause of antepartum haemorrhage and of severe and fatal postpartum haemorrhage in a patient carrying her pregnancy to term.
Method: Detailed clinical, postmortem gross and histopathological analysis of a patient who presented with severe persistent postpartum haemorrhage after a caesarian hysterectomy was carried out and histopathological findings correlated with clinical findings.
Results: showed disseminated gestational choriocarcinoma at term, resulting in a massive intracerebral haemorrhage culminating in the death of the patient.
Conclusion: choriocarcinoma is an uncommon cause of antepartum haemorrhage, severe primary and secondary postpartum haemorrhage and intracerebral haemorrhage, when clinically suspected the diagnosis should be pursued aggressively and patients vigorously treated.