Abstract

BACKGROUND
Molar pregnancy found in a cesarean scar is exceedingly rare. It can be challenging to manage and can have potentially catastrophic consequences.
CASE
A 34-year-old multigravid woman presented with persistent symptoms of pregnancy after a surgical termination of pregnancy. Cesarean scar molar pregnancy was suspected on ultrasonography, and suction evacuation was performed under ultrasound guidance. This was followed by bimanual compression, oxytocin, and uterine artery embolization to reduce bleeding.
CONCLUSION
A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy.

Links

Publisher Full Text

Authors

Ko JK, Wan HL, Ngu SF, Cheung VY, Ng EH

Institution

Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Pok Fu Lam, Hong Kong. jenjenko@gmail.com

Source

Obstetrics and gynecology 119:2 Pt 2 2012 Feb pg 449-51

MeSH

Adult
Cesarean Section
Cicatrix
Female
Humans
Hydatidiform Mole
Pregnancy
Uterine Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22270435