open access
Cervical molar pregnancy, profuse bleeding and urgent surgical treatment
Affiliations- Department of Gynecology and Obstetrics, Faculty of Medicine, University of Nis, Serbia, Serbia
- Clinic of Gynecology and Obstetrics, University Clinical Center Nis, Serbia, Serbia
- Departement of Pathology, Faculty of Medicine, University of Nis, Serbia, Serbia
open access
Abstract
The association of cervical pregnancy and gestational trophoblastic disease is extreme rare, but it is obvious that such combination is associated with devastating effects on future fertility. We present a case of the patient with cervical molar pregnancy, who was admitted due to hemorrhagic shock caused by profuse metrorrhagia at 7th gestational week. Slightly enlarged uterine corpus, with bulky cervix and normal adnexa were found on laparotomy. Total abdominal hysterectomy with the conservation of one ovary was performed. Pathohistological examination confirmed cervical molar pregnancy. In the case of an ectopic, molar or ectopic molar pregnancy, the early visit to gynecologist would give the opportunity to plan the treatment and to preserve the uterus for further pregnancies.
Abstract
The association of cervical pregnancy and gestational trophoblastic disease is extreme rare, but it is obvious that such combination is associated with devastating effects on future fertility. We present a case of the patient with cervical molar pregnancy, who was admitted due to hemorrhagic shock caused by profuse metrorrhagia at 7th gestational week. Slightly enlarged uterine corpus, with bulky cervix and normal adnexa were found on laparotomy. Total abdominal hysterectomy with the conservation of one ovary was performed. Pathohistological examination confirmed cervical molar pregnancy. In the case of an ectopic, molar or ectopic molar pregnancy, the early visit to gynecologist would give the opportunity to plan the treatment and to preserve the uterus for further pregnancies.
Keywords
bleeding; cervical pregnancy; molar pregnancy; urgent hysterectomy
About this articleTitle
Cervical molar pregnancy, profuse bleeding and urgent surgical treatment
Journal
Issue
Article type
Clinical vignette
Published online
2022-04-22
Page views
252
Article views/downloads
185
DOI
10.5603/GP.a2022.0024
Pubmed
Keywords
bleeding
cervical pregnancy
molar pregnancy
urgent hysterectomy
Authors
Predrag Vukomanovic
Ranko Kutlesic
Jelena Milosevic Stevanovic
Ivana Djordjevic
Milan Stefanovic
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