Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain

Objective: We present a case of choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain. Case report: The patient is a 34-year-old multiparous woman with her second pregnancy, and a history of scoliosis with spinal fixation. Her first pregnancy was uneventful,...

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Autores principales:	Lulu Huang, Shi-Yin Huang, Ai-Lun Lee, Tai-Ho Hung
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Choriocarcinoma Pregnancy Clinical presentation Lower back pain Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/c1d51cc9a0f341e68f52f4e18cbc5ec8
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spelling	oai:doaj.org-article:c1d51cc9a0f341e68f52f4e18cbc5ec82021-11-18T04:44:48ZChoriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain1028-455910.1016/j.tjog.2021.09.024https://doaj.org/article/c1d51cc9a0f341e68f52f4e18cbc5ec82021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002643https://doaj.org/toc/1028-4559Objective: We present a case of choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain. Case report: The patient is a 34-year-old multiparous woman with her second pregnancy, and a history of scoliosis with spinal fixation. Her first pregnancy was uneventful, with a term vaginal delivery. She was hospitalized four times due to intractable back pain from 25 to 31 weeks, and terminated at 31 weeks. The placenta was unremarkable on gross examination. Postpartum, the patient developed obstructive ileus, requiring a rectosigmoid resection. She was diagnosed with metastatic choriocarcinoma to the liver, para-aortic lymph nodes, and mesentery. A week later, she developed micro-thrombosis of all limbs, massive ascites, pleural effusion. Patient refused chemotherapy and died on post-operative Day 15. Conclusion: Presentation of choriocarcinoma in pregnancy varies widely. Clinicians should consider the differential diagnosis of choriocarcinoma when faced with abnormal unexplained symptoms during pregnancy.Lulu HuangShi-Yin HuangAi-Lun LeeTai-Ho HungElsevierarticleChoriocarcinomaPregnancyClinical presentationLower back painGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 1098-1102 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Choriocarcinoma Pregnancy Clinical presentation Lower back pain Gynecology and obstetrics RG1-991
spellingShingle	Choriocarcinoma Pregnancy Clinical presentation Lower back pain Gynecology and obstetrics RG1-991 Lulu Huang Shi-Yin Huang Ai-Lun Lee Tai-Ho Hung Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
description	Objective: We present a case of choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain. Case report: The patient is a 34-year-old multiparous woman with her second pregnancy, and a history of scoliosis with spinal fixation. Her first pregnancy was uneventful, with a term vaginal delivery. She was hospitalized four times due to intractable back pain from 25 to 31 weeks, and terminated at 31 weeks. The placenta was unremarkable on gross examination. Postpartum, the patient developed obstructive ileus, requiring a rectosigmoid resection. She was diagnosed with metastatic choriocarcinoma to the liver, para-aortic lymph nodes, and mesentery. A week later, she developed micro-thrombosis of all limbs, massive ascites, pleural effusion. Patient refused chemotherapy and died on post-operative Day 15. Conclusion: Presentation of choriocarcinoma in pregnancy varies widely. Clinicians should consider the differential diagnosis of choriocarcinoma when faced with abnormal unexplained symptoms during pregnancy.
format	article
author	Lulu Huang Shi-Yin Huang Ai-Lun Lee Tai-Ho Hung
author_facet	Lulu Huang Shi-Yin Huang Ai-Lun Lee Tai-Ho Hung
author_sort	Lulu Huang
title	Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
title_short	Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
title_full	Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
title_fullStr	Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
title_full_unstemmed	Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
title_sort	choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c1d51cc9a0f341e68f52f4e18cbc5ec8
work_keys_str_mv	AT luluhuang choriocarcinomainaviablepregnancywiththerarepresentationofintractablelowerbackpain AT shiyinhuang choriocarcinomainaviablepregnancywiththerarepresentationofintractablelowerbackpain AT ailunlee choriocarcinomainaviablepregnancywiththerarepresentationofintractablelowerbackpain AT taihohung choriocarcinomainaviablepregnancywiththerarepresentationofintractablelowerbackpain
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Choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain

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