Caesarean scar choriocarcinoma with uterine rupture: a case report

A caesarean scar choriocarcinoma is an extremely rare for its unique position. The authors report the clinical characteristics, pathologic findings, and treatments of a patient in caesarean scar choriocarcinoma with uterine rupture. The present report outlines a case of primary gestational choriocarcinoma with uterine rupture in caesarean scar misdiagnosed as a normal caesarean scar pregnancy in a 36- year-old woman. The patient underwent resection of the scar with tumor tissue and wound repair to preserve the uterus. The blood serum level of β-human chorionic gonadotropin (β-hCG) declined from > 200,000 IU/l to 49,151 IU/l the day after the operation. Finally, she received two courses of combined chemotherapy with 5-fluorouracil and actinomycin D. It is difficult to make clinical diagnosis in a primary gestational choriocarcinoma of the uterine caesarean scar. Awareness of the possibility of potentially catastrophic complications as heavy bleeding or uterine rupture, and operation to resect the scar with tumor tissue and wound repair combined with chemotherapy can become an effective alternative for the treatment of caesarean scar choriocarcinoma.

Caesarean scar; Choriocarcinoma; Treatment.

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