Retroperitoneal hemorrhage presenting as a ruptured ectopic pregnancy |
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Authors: | MDWilliam J Plaus |
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Affiliation: | Department of Surgery, University of Colorado Health Sciences Center, Denver. |
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Abstract: | A young woman presented with acute abdominal pain, anemia, and a positive pregnancy test. At surgery a large retroperitoneal hematoma secondary to a ruptured right kidney was found. Pathological examination revealed a hematogenic necrosis of a choriocarcinoma of the kidney. The patient tolerated subsequent chemotherapy with no evidence of recurrent disease after ten months of follow-up care. The diagnosis of choriocarcinoma must always be entertained when a patient presents with a positive pregnancy test and normal pelvic examination. |
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Keywords: | hemorrhage retroperitoneal |
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