Postpartum Hemorrhage as the First Manifestation of Choriocarcinoma: A Case Report

Document Type : Case report


1 Professor, Department of Obstetrics and Gynecology, Ovulation Dysfunction Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Resident of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Msc student of Midwifery, Mashhad Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Clinical Pathologist, Mashhad, Iran.


Introduction: Vaginal bleeding is the common sign of clinical manifestation of late vaginal bleeding of postpartum and choriocarcinoma. Choriocarcinoma grows rapidly and metastases and damage vessels and result bleeding. We have described a case of postpartum hemorrhage with metastatic choriocarcinoma.
Case report: A 34 year old woman with vaginal bleeding after 45 days of vaginal delivery admitted and evaluation revealed choriocarcinoma. Because of multi organs metastasis, surgery and chemotherapy was done but the patient did not respond to treatment and died.
Conclusion: Regarding vaginal bleeding is the common sign of clinical manifestation of late postpartum hemorrhage and choriocarcinoma, it is recommended to be considered in differential diagnosis of choriocarcinoma


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