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Partial molar pregnancy in the cesarean scar
Author(s) -
Chen Ling,
Jitong Zhao,
Xiaorong Qi
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000011312
Subject(s) - medicine , molar pregnancy , amenorrhea , pregnancy , cesarean delivery , vaginal bleeding , obstetrics , surgery , gynecology , gestation , genetics , biology
Rationale: The incidence of molar pregnancy in the cesarean scar is exceedingly low, however, the disease may carry a high risk of uncontrolled hemorrhage or uterine rupture. So far managements of this disease were rarely reported in literature. Patient concerns: We reported a 28-year-old woman presented to our hospital with a complaint of amenorrhea for 48 days and vaginal bleeding for 3 days. Diagnosis: Transvaginal ultrasonography, serum hCG and pelvic MRI confirmed the cesarean scar pregnancy. Interventions: The patient underwent bilateral uterine arterial embolization and suction evacuation. Outcomes: The postoperative histologic examination of the tissue revealed a partial hydatidiform mole. Lessons: Molar pregnancy in the cesarean scar is tough to differentiate from normal cesarean scar pregnancy with serum hCG, sonogram or MRI. This case suggested us that it was necessary to perform a histological examination of postoperative specimen for cesarean scar pregnancy.

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