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Case Reports: Unusual association of diseases/symptoms
Pretreatment of choriocarcinoma syndrome: a rare complication of metastatic germ cell tumours
  1. Nicolas Adrianto Soputro1,
  2. Jay Roberts1,
  3. Shirley Wong2 and
  4. Brendan Hermenigildo Dias1,3
  1. 1Urology, Western Health, Footscray, Victoria, Australia
  2. 2Oncology, Western Health, Footscray, Victoria, Australia
  3. 3Surgery, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Parkville, Victoria, Australia
  1. Correspondence to Dr Nicolas Adrianto Soputro; nicolasasoputro{at}gmail.com

Abstract

A 27-year-old man newly diagnosed with metastatic testicular choriocarcinoma developed a large right perinephric haematoma secondary to a metastatic deposit in his right kidney. His presentation was also complicated by bilateral iliac venous thrombosis and pulmonary embolism identified prior to initiation of chemotherapy. He underwent multiple attempts at angioembolisation of the bleeding vessels and ultimately angioembolisation of the main renal artery had to be performed to control the bleeding. Following resolution and commencement of chemotherapy, the patient also developed spontaneous intracranial haemorrhage requiring craniotomy.

  • urological cancer
  • urology
  • urological surgery
  • surgery
  • cancer - see oncology

https://doi.org/10.1136/bcr-2021-248172

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    Footnotes

    • Contributors NAS responsible for conceptualising, writing and editing case report. JR responsible for the case procedure, conceptualising and editing case report. SW responsible for editing the case report. BHD responsible for conceptualising and editing case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.