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Choriocarcinoma presenting as a spontaneous rupture of an adrenal metastasis: a case report
Authors:Hoshiyama Fumiaki  Hosokawa Yukinari  Kumamoto Hiromi  Hayashi Yoshiki  Fujimoto Kiyohide  Hirao Yoshihiko
Affiliation:Department of Urology, Tane General Hospital.
Abstract:A 20-year-old woman, who had a history of childbirth, was admitted to the emergency room with an acute abdomen. An abdominal enhanced computed tomography (CT) revealed retroperitoneal hemorrhage, leading to life-threatening, and multiple tumors in the liver. Additionally, chest CT also revealed multiple coin lesions in the lung. These findings strongly indicated a spontaneous rupture of adrenal tumor. We performed exploratory laparotomy. An examination during surgery showed a rupture of adrenal tumor. En bloc resection of adrenal gland, tumor, and the kidney was performed. Pathological finding revealed the adrenal tumor was choriocarcinoma.
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