AN UNUSUAL PRESENTATION OF CHORIO CARCINOMA PRESENTING WITH DIAGNOSTICDILEMMA- A CASE REPORT AND REVIEW OF LITERATURE

Choriocarcinoma is the most malignant tumor of gestational trophoblastic neoplasia. Thetrophoblastic tumour presenting as spontaneous uterine perforation with hemoperitoneum is very rare. We present a 30 year old parous woman, who had completed her family and presented with acute abdomen caused by spontaneous rupture of uterus with internal hemorrhage due to choriocarcinoma following a live birth pregnancy. The long time interval between the previous live birth pregnancy and the acute onset of the disease by uterine rupture as the first symptom without any other symptoms are presented and discussed in this case report.