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Case Reports
. 2009 Jul 13;9(1):56-8.
doi: 10.1102/1470-7330.2009.0010.

Bilateral renal and jejunal metastasis of choriocarcinoma presenting as spontaneous renal hemorrhage

A Lal  1 , M Singhal, S Kumar, S Bag, S K Singh, N Khandelwal
Affiliations
Case Reports

Bilateral renal and jejunal metastasis of choriocarcinoma presenting as spontaneous renal hemorrhage

A Lal et al. Cancer Imaging. .

Abstract

Spontaneous renal hemorrhage (SRH) is a difficult diagnostic problem with various causes. We report a case of SRH and episodic gross hematuria in a patient with metastatic choriocarcinoma involving both kidneys for which successful angioembolization was carried out for control of hemorrhage. There was no evidence of primary uterine tumor and pulmonary or liver involvement. The patient developed gastrointestinal bleeding due to jejunal metastasis while on chemotherapy and surgical resection of the involved segment was carried. However, the patient acquired nosocomial pneumonia and succumbed to sepsis in the postoperative period.

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Figures

Figure 1
Figure 1
Contrast-enhanced CT showing a large perirenal hematoma (arrows) compressing the right kidney with a hypervascular mass and microaneurysms (small arrows). A mass lesion is also noted in the left kidney (curved arrow).
Figure 2
Figure 2
Angiography of the right kidney showing multiple microaneurysms (arrows) and areas of contrast pudding.
Figure 3
Figure 3
Angiography of the left kidney showing microaneurysms in the tumor-bearing segment (arrows).
Figure 4
Figure 4
The resected jejunal loop showing the ulcero-nodular growth due to metastatic choriocarcinoma (arrows).
See this image and copyright information in PMC

References

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