Gestational choriocarcinoma presenting with hemorrhagic venous infarct and multiple lung metastases: A case report

Bakar Ali Adam, MD; Yahye Garad Mohamed, MD; Mohamed Sheikh Hassan, MD; Nor Osman Sidow, MD; Mohamed osman omar jeele, MD; Abdulkadir Ahmed Mohamed, MD; Mohamed Farah Osman Hidig, MD; Abdiwahid Ahmed Ibrahim, MD; Abdikadir Mohamed Dirie, MD; Ahmed Issak Hussein, MD; Mohamed Omar Hassan, MD

Radiology Case Reports (Dec 2024)

Gestational choriocarcinoma presenting with hemorrhagic venous infarct and multiple lung metastases: A case report

Bakar Ali Adam, MD,
Yahye Garad Mohamed, MD,
Mohamed Sheikh Hassan, MD,
Nor Osman Sidow, MD,
Mohamed osman omar jeele, MD,
Abdulkadir Ahmed Mohamed, MD,
Mohamed Farah Osman Hidig, MD,
Abdiwahid Ahmed Ibrahim, MD,
Abdikadir Mohamed Dirie, MD,
Ahmed Issak Hussein, MD,
Mohamed Omar Hassan, MD

Affiliations

Bakar Ali Adam, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia; Faculty of Medicine and Surgery, Mogadishu University, Mogadishu, Banadir, Somalia; Corresponding author.
Yahye Garad Mohamed, MD: Radiology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Mohamed Sheikh Hassan, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia; Faculty of Medicine and Surgery, Mogadishu University, Mogadishu, Banadir, Somalia
Nor Osman Sidow, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Mohamed osman omar jeele, MD: Internal Medicine Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Abdulkadir Ahmed Mohamed, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Mohamed Farah Osman Hidig, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Abdiwahid Ahmed Ibrahim, MD: Neurology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Abdikadir Mohamed Dirie, MD: Radiology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Ahmed Issak Hussein, MD: Obstetrics and Gynecology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia
Mohamed Omar Hassan, MD: Cardiology Department, Mogadishu Somali Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Banadir, Somalia

Journal volume & issue: Vol. 19, no. 12
pp. 6638 – 6641

Abstract

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Choriocarcinoma is a rare and aggressive form of gestational trophoblastic disease with a high potential for metastasis. We report the case of a 31-year-old female who presented with severe headaches, left-sided weakness, and speech difficulties. Her past medical history included a molar pregnancy, and she had elevated β-hCG levels of 200,000 mIU/mL. Imaging revealed a right frontoparietal hemorrhagic venous infarct and multiple lung metastases. Based on these findings and the patient's clinical history, a diagnosis of gestational choriocarcinoma with multiple metastases was confirmed. This case highlights the importance of considering choriocarcinoma in the differential diagnosis of young women presenting with neurological symptoms and a history of gestational trophoblastic disease. Early recognition and prompt treatment are crucial to improving outcomes in such cases.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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