Gestational trophoblastic neoplasia (invasive mole) following incomplete abortion- a rare case presenting with uterine perforation with gross hemoperitoneum: A case report

  • G Neupane Chitwan Medical College
  • S Acharya Chitwan Medical College
Keywords: Gestational trophoblastic neoplasia, Invasive mole, Uterine perforation

Abstract

 Invasive mole is gestational trophoblastic neoplasia, characterized by aggressive invasion of the wall of the uterus by the trophoblastic cells. Here, we report a rare case of 17 years primigravida who presented with per vaginal bleeding and uterine perforation with gross hemoperitoneum about 1 month of manual vacuum aspiration of incomplete abortion. Resuscitation followed by emergency laparotomy with subsequent repair of uterine perforation was done. The patient received a total of 5 cycles of single agent chemotherapy (Methotrexate with leukovorin rescue). The beta hCG level became normal after 3 cycles of chemotherapy and further 2 cycles chemotherapy was administered. She was followed up for another 1 year in which her beta hCG levels were within normal limits. 

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Author Biographies

G Neupane, Chitwan Medical College
Obstetrics & Gynaecology
S Acharya, Chitwan Medical College
Obstetrics & Gynaecology
Published
2017-02-20
How to Cite
Neupane, G., & Acharya, S. (2017). Gestational trophoblastic neoplasia (invasive mole) following incomplete abortion- a rare case presenting with uterine perforation with gross hemoperitoneum: A case report. Journal of Chitwan Medical College, 6(4), 63-67. https://doi.org/10.3126/jcmc.v6i4.16720
Section
Case Reports