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Bleeding duodenal choriocarcinoma: An unusual cause of positive urine pregnancy test
Author(s) -
Li Jimmy ChakMan,
Kan Amanda NimChi,
Wan SukKing,
Chan Angus ChiWai
Publication year - 2005
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2005.00272.x
Subject(s) - medicine , choriocarcinoma , duodenum , pregnancy , ectopic pregnancy , urine , abdomen , abdominal pain , obstetrics , differential diagnosis , radiology , gastroenterology , pathology , genetics , biology
Primary choriocarcinoma of the duodenum is exceedingly rare. Only a few cases have been reported previously. A case of extragenital choriocarcinoma of the duodenum in a 43‐year‐old Chinese woman is described. Her presenting symptoms were abdominal pain, anaemia and melaena. Her urine pregnancy test was positive, which made ectopic pregnancy one of the differential diagnoses. An urgent ultrasound scan and computed tomography scan of the abdomen showed no evidence of an ectopic pregnancy. Upper endoscopy found a bleeding ulcer at the second part of the duodenum. A duodenal ulcer biopsy showed choriocarcinoma. The positive urine pregnancy test represents a useful marker in early diagnosis.