A case report of pelviscopic resection of invasive hydatidiform mole.

Abstract:

RATIONALE:Invasive moles occur in the fertile period, with about 95% occurring after previous mole removal and the remaining 5% occurring after several other pregnancies. PATIENT CONCERNS:A 27-year-old patient developed a rare invasive mole two months after a missed abortion. DIAGNOSES:A transvaginal ultrasound scan revealed a 3.6 × 2.9 × 2.4 cm sized lesion with cystic vascular areas within it, within the myometrium of the right fundal posterior region of the uterus. There was no metastasis to other organs. INTERVENTIONS:After administration of methotrexate, the level of beta-human chorionic gonadotropin (ß-hCG) was elevated and liver enzymes were also markedly elevated. She wanted to retain fertility for future pregnancies. After laparoscopic removal of the myometrial invasive mole, the incision site was sutured with a 3-0 V-Loc. OUTCOMES:One year later, a natural pregnancy occurred and a cesarean section was performed at 36 weeks. LESSONS:This is the first reported case of its type. Our case demonstrated that pelviscopic removal of an invasive mole is possible if there are no other metastases, and that future pregnancy and childbirth are still feasible in women of reproductive age.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Lee HJ,Kim YS

doi

10.1097/MD.0000000000017565

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

e17565

issue

41

eissn

0025-7974

issn

1536-5964

pii

00005792-201910110-00066

journal_volume

98

pub_type

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