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Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma
Ann Hepatobiliary Pancreat Surg 2018 Feb;22(1):79-82
Published online February 28, 2018
Copyright © 2018 Ann Hepatobiliary Pancreat Surg.

Tan Ming Ngan Aloysius, and Vishalkumar G Shelat

Department of General Surgery, Tan Tock Seng Hospital, Singapore
Received May 10, 2017; Revised August 1, 2017; Accepted August 7, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Gestational choriocarcinoma is a rare and aggressive type of gestational trophoblastic neoplasia, which is characterized by early vascular invasion and widespread metastases. Choriocarcinoma metastasizes hematogenously, and bleeding from metastases is common. Splenic rupture from a metastatic tumour is exceedingly rare, with only a few reports. We report a case of a 41-year-old female presenting with acute abdomen and haemorrhagic shock secondary to splenic rupture from metastatic choriocarcinoma, which was managed with emergency laparoscopic splenectomy. (Ann Hepatobiliary Pancreat Surg 2018;22:79-82)
Keywords : Choriocarcinoma; Laparoscopy; Splenic rupture


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