MASSIVE HEMOPERITONEUM DUE TO RUPTURE OF A HEPATIC METASTASIS REVEALING AN OVERLOOKED PLACENTAL CHORIOCARCINOMA - REPORT OF A CASE TREATED BY SIMPLE ENUCLEATION

A case of overlooked placental choriocarcinoma revealed by rupture of a hepatic metastasis is reported. The low prevalence of this condition , the existence of a symptom-free interval after a pregnancy that was considered normal, the absence of gynecologic warning signals, and the fact that the lesions were isolated complicated the diagnosis. The ma nagement of choriocarcinoma can be difficult in emergency situations, and simple enucleation is a valid therapeutic option.