Hemoptysis and Hemoperitoneum due to Metastatic Gestational Choriocarcinma: Bronchial Artery Embolization and Superselective Splenic Artery Embolization: A Case Report.
10.3348/jkrs.2003.48.1.65
- Author:
Tae Beom SHIN
1
;
Chang Kyu SEONG
;
Byung Ho PARK
;
Seong Kuk YOON
;
Chan Sung KIM
;
Jin Hwa LEE
;
Jong Young OH
;
Yong Joo KIM
;
Young Hwan KIM
Author Information
1. Department of Diagnostic Radiology, Dong-A University School of Medicine. tbshinkr@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Uterine neoplasms, angiography;
Uterine neoplasms, CT;
Genitourinary system, interventional procedure;
Spleen, neoplasms
- MeSH:
Aneurysm, False;
Bronchial Arteries*;
Choriocarcinoma;
Female;
Hemoperitoneum*;
Hemoptysis*;
Hemorrhage;
Humans;
Neoplasm Metastasis;
Pregnancy;
Rupture;
Splenic Artery*;
Uterus
- From:Journal of the Korean Radiological Society
2003;48(1):65-68
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gestational choriocarcinoma is easily disseminated hematogenously and its hypervascular nature places the patient at risk of significant hemorrhage both at the sites of metastatic lesions and in the uterus. In addition, its tends to give rise to pseudoaneurysm formation. Treatment of the condition by percutaneous embolization has been reported in several published articles, and hemoperitoneum secondary to rupture of splenic metastasis of gestational choriocarcinoma has also been reported, as has angiographic embolization. Hemoptysis resulting from pulmonary metastasis and treatment by means of embolization of the bronchial artery have not been reported, however. In this article, we describe a case of hemoptysis and hemoperitoneum due to pulmonary and splenic metastasis of gestational choriocarcinoma. Treatment of the condition involved embolization of the bronchial artery and superselective embolization of the splenic artery.
