Management of uterine rupture during molar pregnancy.
J Gynecol Obstet Hum Reprod
; 50(7): 102058, 2021 Sep.
Article
en En
| MEDLINE
| ID: mdl-33401026
ABSTRACT
Gestational trophoblastic disease (GTD) is rare and encompasses several clinicopathologic forms from pre-malignant to malignant disorders. Clinical presentation is most of the time dominated by vaginal bleeding. Only few cases of uterine rupture during GTD have been reported in literature. We present the case of a female patient admitted to the hospital for hemorrhagic shock secondary to a uterine rupture due to an undiagnosed GTD. After an emergency laparoscopy, the patient underwent total hysterectomy with bilateral salpingectomy and bilateral ovarian cystectomy. Pulmonary metastasis were discovered on imaging after stagnation of the beta-hCG level. The surgical treatment was completed by 6 cycles of Methotrexate followed by 7 cycles of Actinomycine D with a good response.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Rotura Uterina
/
Mola Hidatiforme
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Gynecol Obstet Hum Reprod
Año:
2021
Tipo del documento:
Article