Coriocarcinoma metastásico asociado con síndrome de Wunderlich: Presentación de un caso y revisión de la bibliografía
Por:
Ojendiz-Nava R.C., Niebla-Cárdenas D., Hernández-Flores S.E., Audifred-Salomón J.R., Morales-Leyte A.L.
Publicada:
1 ene 2015
Resumen:
Choriocarcinoma is a rare condition, with an incidence of 1 in 30 to 40,000 pregnancies in the United States and Europe. In Mexico it is reported in 1 in 10,000 pregnancies. Wunderlich syndrome is a spontaneous perirenal hematoma, a very rare entity. This paper reports the case of a young patient with a history of molar pregnancy one year prior to admission, valuation due to fainting, generalized headache, spontaneous pain in the right flank and data of hypovolemic shock. Computed tomography reported right perirenal hematoma, normal uterus, two annexes with data of tecaluteinic cysts, beta human chorionic gonadotropin greater than 200,000 IU/mL. Patient was stabilized with crystalloid, blood products and right adrenal artery embolization. It was corroborated the brain, mediastinum and abdomen metastases. She was sent to a third level hospital, starting holocraneal radiotherapy, she had retroperitoneal bleeding and died a week later. © 2015, Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.
Filiaciones:
Ojendiz-Nava R.C.:
Hospital General Dr. Manuel Gea González, SS, México, DF, Mexico
Niebla-Cárdenas D.:
Hospital General Dr. Manuel Gea González, SS, México, DF, Mexico
Hernández-Flores S.E.:
Hospital General Dr. Manuel Gea González, SS, México, DF, Mexico
Audifred-Salomón J.R.:
Hospital General Dr. Manuel Gea González, SS, México, DF, Mexico
Morales-Leyte A.L.:
Hospital General Dr. Manuel Gea González, SS, México, DF, Mexico
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