Unusual presentation of choriocarcinoma

Choriocarcinoma is a rare malignant genital tract tumor, arising in the uterus or in the testis. These tumors in women usually follows a pregnancy. It is more common after a molar pregnancy. A 35 years old married woman was admitted with two weeks history of bleeding per rectum. Patient was explored via a midline incision. A 2x2 cm polypoidal lesion was found in terminal ileum and a haemorrhagic cystic mass seen in upper pole of right kidney. Uterus was bulky. Heal lesion was resected and anastomosis done. Excision Biopsy was taken from the renal mass, conserving the kidney. Resected Heal tissue and kidney mass were reported as Choriocarcinoma