High-risk Gestational Choriocarcinoma Presenting as Postabortion Sepsis: A Diagnostic and Management Challenge

REPORTby continuous vaginal bleeding, and the patient was transfused multiple blood products and referred to our center.At presentation, the patient was conscious and oriented with an oxygen saturation of 90% on nasal prongs at 2 L/min, a heart rate of 142/min, blood pressure of 96/58 mm Hg, respiratory rate of 28/min, and high-grade fever (102F).Basic blood investigations showed neutrophilic leukocytosis (total leukocyte count of 16.5 10 3 with 93% neutrophils and 6% lymphocytes), raised D-dimer levels (3.00), and decreased thyroid-stimulating hormone (TSH 0.10) with normal free T3 and T4 levels (free T3 = 6.25 and free T4 = 8.4).Chest X-ray showed bilateral parenchymal infiltrates (Fig. 1).In view of persistent tachypnea and reduced oxygen saturation (88%), not responding to oxygen therapy, the patient was initially put on noninvasive 1-