Volume 26, Issue 122, April 2022

Extra-gestational choriocarcinoma of colon - Diagnostic challenges and management issues

Harshal Tayade¹, Surekha Tayade^2♦, Meenakshi Yeola³, Sparsh Madaan⁴, Dhruv Talwar⁵, Arzoo Chadha⁴, Nidhi Makhija⁴

¹Post graduate resident, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed to be University, Sawangi (Meghe), Wardha, Maharashtra, India
²Professor, Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed to be University, Sawangi (Meghe), Wardha, Maharashtra, India
³Professor and Head, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed to be University, Sawangi (Meghe), Wardha, Maharashtra, India
⁴Post graduate resident, Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed to be University, Sawangi (Meghe), Wardha, Maharashtra, India
⁵Post graduate resident, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Deemed to be University, Sawangi (Meghe), Wardha, Maharashtra, India

^♦Corresponding author
Professor, Department of Obstetrics and Gynecology, Jawaharlal Nehru medical college, Datta Meghe Institute of Medical Sciences (Deemed to be university), Sawangi (meghe), Wardha, Maharashtra, India

ABSTRACT

Choriocarcinoma is an unfrequently encountered malignant tumour arising from the placenta in the females and the gonads in males. Extra-gonadal or non-gestational choriocarcinoma are rare tumors which arise from sites which include the mediastinum, lung, stomach, cervix, ureter and pancreas. Primary choriocarcinoma arising from the rectum or the colon is extremely rare to encounter with very few cases reported till date. It is usually associated with poor prognosis. We present a case of 29 year old third gravida with known case of rheumatic heart disease who was referred to our rural tertiary care centre with a diagnosis of probable ruptured ectopic pregnancy which turned out to be a case extra gestational choriocarcinoma of the colon upon investigations. The patient was started with chemotherapy however she succumbed due to pulmonary embolism secondary to her high risk pregnancy due to rheumatic heart disease. This case highlights that though extra gestational choriocarcinoma is rare to encounter it is important for the clinicians to be vigilant for the same as it is often a misdiagnosed condition specially in the rural peripheral centres where there is lack of resources and investigations to confirm the diagnosis.

Keywords: extra gestational choriocarcinoma, primary choriocarcinoma of colon, ruptured ectopic

Medical Science, 2022, 26, ms147e2135

PDF

DOI: https://doi.org/10.54905/disssi/v26i122/ms147e2135

Published: 23 April 2022