Antepartum and postpartum haemorrhage in primary cervical choriocarcinoma: case report

Primary cervical choriocarcinoma is very rare. So far only about 60 authenticated cases have been reported in the English literature. Primary cervical choriocarcinoma presenting with antepartum or postpartum haemorrhage is even rarer. A case of primary cervical choriocarcinoma with an apparently normal intrauterine pregnancy, in a 36 year old Malawian African woman, presenting with antepartum haemorrhage at 28 weeks of gestation and later with secondary postpartum haemorrhage is reported. The primary cause in this case was not quite certain. Though rare, it is suggested that cervical choriocarcinoma should be considered a possible local cause of antepartum and or postpartum haemorrhage in a parous woman, in areas where gestational trophoblastic disease (GTD) is relatively commoner, such as Africa.