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Partial molar pregnancy in the cesarean scar: A case report and literature review
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 pres...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039626/ https://www.ncbi.nlm.nih.gov/pubmed/29953018 http://dx.doi.org/10.1097/MD.0000000000011312 |
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author | Ling, Chen Zhao, Jitong Qi, Xianrong |
author_facet | Ling, Chen Zhao, Jitong Qi, Xianrong |
author_sort | Ling, Chen |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6039626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-60396262018-07-16 Partial molar pregnancy in the cesarean scar: A case report and literature review Ling, Chen Zhao, Jitong Qi, Xianrong Medicine (Baltimore) Research Article 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. Wolters Kluwer Health 2018-06-29 /pmc/articles/PMC6039626/ /pubmed/29953018 http://dx.doi.org/10.1097/MD.0000000000011312 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | Research Article Ling, Chen Zhao, Jitong Qi, Xianrong Partial molar pregnancy in the cesarean scar: A case report and literature review |
title | Partial molar pregnancy in the cesarean scar: A case report and literature review |
title_full | Partial molar pregnancy in the cesarean scar: A case report and literature review |
title_fullStr | Partial molar pregnancy in the cesarean scar: A case report and literature review |
title_full_unstemmed | Partial molar pregnancy in the cesarean scar: A case report and literature review |
title_short | Partial molar pregnancy in the cesarean scar: A case report and literature review |
title_sort | partial molar pregnancy in the cesarean scar: a case report and literature review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039626/ https://www.ncbi.nlm.nih.gov/pubmed/29953018 http://dx.doi.org/10.1097/MD.0000000000011312 |
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