Uterine perforation due to invasive mole: a case report

Authors

M Yaghmaei1,*
1Obstetric and Gynecology Dept, Faculty of Medicine, Zahedan University of Medical Sciences and health services, Zahedan, Iran.
*Corresponding Author: Obstetric and Gynecology Dept, Faculty of Medicine, Zahedan University of Medical Sciences and health services, Zahedan, Iran. Email: [email protected]

Zahedan Journal of Research in Medical Sciences:Vol. 7, issue 4; e94920
Published online:Nov 22, 2005
Article type:Research Article
Received:Apr 25, 2005
Accepted:Oct 14, 2005
How to Cite:Yaghmaei M. Uterine perforation due to invasive mole: a case report. Zahedan J Res Med Sci. 2005;7(4):e94920. doi:

Abstract

Complete hydatidiform moles are known to have a potential for uterine invasion (15%) or
distant spread (4%). Factors that predispose to post molar tumor are ß –hCG level>100000
mIU/mL, uterine size greater than expected for gestational age, and theca lutein cysts> 6 cm
diameter and complete moles in older women. This is a case report about uterine perforation
due to invasive molar pregnancy.
The patient was a 43 years old woman who was admitted to emergency department due to
faint and lower abdominal pain. She had a history of suction curettage because of molar
pregnancy 4.5 months ago. Since that time she has not had any vaginal bleeding. Because of
acute abdomen and also sonographic report, emergency laparatomy was done. The uterine
fundus was perforated due to invasive mole so abdominal hysterectomy was performed.
Further evaluation didn’t show occult metastatic disease and the patient was treated with
single agent chemotherapy. The ß –hCG level gradually declined and became zero. Now the
patient is following and she has no problem.

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Copyright

© 2005, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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