Archives of Gynecology and Obstetrics

, Volume 280, Issue 5, pp 859–862 | Cite as

Acute abdomen as initial presentation of gestational choriocarcinoma

  • Vassilios Liberis
  • Sofia Bouchlariotou
  • Alexandros AmmariEmail author
  • Afroditi Psillaki
  • Maritsa Ntatidou
  • Efthimios Sivridis
  • Valentina Dislian
  • Nikoleta Koutlaki
Case Report


Choriocarcinoma is the most malignant tumor of gestational trophoblastic neoplasia. Choriocarcinoma presenting as postpartum hemorrhage and spontaneous uterine perforation with intra-abdominal hemorrhage is very rare. We present a 29-year-old woman with spontaneous uterine rupture due to choriocarcinoma following a live birth pregnancy. The long time interval (2 years) between the previous live birth pregnancy and the diagnosis of the disease, the acute onset of the disease by uterine rupture as the first symptom and the negative urine hCG test are presented and discussed in this case report.


Choriocarcinoma Uterine rupture Urine hCG test 


Conflict of interest statement



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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Vassilios Liberis
    • 1
  • Sofia Bouchlariotou
    • 1
  • Alexandros Ammari
    • 1
    Email author
  • Afroditi Psillaki
    • 1
  • Maritsa Ntatidou
    • 1
  • Efthimios Sivridis
    • 2
  • Valentina Dislian
    • 3
  • Nikoleta Koutlaki
    • 1
  1. 1.Department of Obstetrics and Gynecology, School of Medicine, University Hospital of AlexandroupolisDemocritus University of ThraceAlexandroupolisGreece
  2. 2.Department of Pathology, School of MedicineDemocritus University of ThraceAlexandroupolisGreece
  3. 3.Department of General MedicineAristotle University of ThessalonikiThessalonikiGreece

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