2026-05-09T22:28:52Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/jgro.000003 2015-11-09 PTZ.JGRO:VOL1

Gestational Choriocarcinoma in a Jehovah’s Witness: A Case Report Onyinye Onyeka Okonkwo George Uchenna ElejeJohn EN Okonkwo<p><strong>Introduction:</strong> Due&nbsp; to&nbsp; strong&nbsp; religious&nbsp; faith&nbsp; and&nbsp; beliefs&nbsp; against&nbsp; blood&nbsp; transfusions,&nbsp; Jehovah’s Witness&nbsp; patients&nbsp; often&nbsp; pose&nbsp; tight&nbsp; spot&nbsp; for&nbsp; obstetrician-gynecologists. Myelosuppressive&nbsp; effects&nbsp; of chemotherapy in gynecology-oncology settings are additional source of worry. <strong><br></strong></p><p><strong>Case Presentation:</strong> A 25-year-old P0+1 Nigerian woman presented with subcostal pains, dyspnea and cough productive of bloody sputum of one month duration. There was no vaginal bleeding. She&nbsp; had&nbsp; spontaneous&nbsp; miscarriage&nbsp; and&nbsp; evacuation&nbsp; of&nbsp; retained&nbsp; products&nbsp; of&nbsp; conception&nbsp; twice&nbsp; at another health facility with histology confirming choriocarcinoma. She was anemic and had a Durable- Power-of-Attorney&nbsp; card&nbsp; forbidding&nbsp; blood&nbsp; transfusion.&nbsp; She&nbsp; received&nbsp; Iron&nbsp; dextran&nbsp; and&nbsp; erythropoietin prior to each of three courses of&nbsp; olychemotherapy. Beta-Human Chorionic Gonadotrophin returned to normal 456 days later and had normal pregnancy sixteen months later.</p><p><strong>Conclusion: </strong>This first reported case of gestational choriocarcinoma in a Jehovah’s Witness who survived&nbsp; without&nbsp; obstetrics&nbsp; sequalae&nbsp; is&nbsp; illustrative&nbsp; of&nbsp; such&nbsp; managed&nbsp; in&nbsp; resource-poor&nbsp; setting&nbsp; while maintaining patient autonomy.</p> Journal of Gynecological Research and Obstetrics - Peertechz Publications 2015-11-09 Case Report https://doi.org/10.17352/jgro.000003 en Copyright © Onyinye Onyeka Okonkwo et al.