Management of uterine rupture during molar pregnancy.
Gestational trophoblastic disease
Hysterectomy
Metastatic disease
Molar pregnancy
Uterine rupture
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
29
11
2020
revised:
14
12
2020
accepted:
28
12
2020
pubmed:
6
1
2021
medline:
24
12
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33401026
pii: S2468-7847(20)30434-7
doi: 10.1016/j.jogoh.2020.102058
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
102058Informations de copyright
Copyright © 2021 Elsevier Masson SAS. All rights reserved.