Abstract
Gestational trophoblastic diseases (GTD) are one of the rare complications of pregnancy, which include partial and complete moles with their more aggressive counterparts termed as Gestational trophoblastic neoplasias (GTN). Their association with uterine vascular malformations is well recognised and should be suspected in appropriate clinical settings. Selective uterine artery embolization is a safe and effective alternative method of treatment in a patient with severe per vaginal bleeding from residual uterine vascular malformations due to GTN which has relative lower morbidity and mortality than surgical procedures. Here, we report a case of residual uterine arterio-venous malformation due to invasive mole detected by ultrasonography (US) and contrast enhancedMRI & referred to Interventional Radiology for Transcathetor arterial embolization.
Highlights
Gestational trophoblastic diseases include complete and partial mole formation, have rare occurrence rate [1,2]
Gestational trophoblastic diseases (GTD) are one of the rare complications of pregnancy, which include partial and complete moles with their more aggressive counterparts termed as Gestational trophoblastic neoplasias (GTN)
10% of complete hydatidiform moles and 0.5% of partial hydatidiform moles undergo malignant transformation into an invasive mole, a choriocarcinoma, or, rarely, a placental site tumor, and require further treatment, and are collectively known as Gestational Trophoblastic Neoplasias with majority of them treated by chemotherapy [2,3]
Summary
Gestational trophoblastic diseases include complete and partial mole formation, have rare occurrence rate [1,2]. 10% of complete hydatidiform moles and 0.5% of partial hydatidiform moles undergo malignant transformation into an invasive mole, a choriocarcinoma, or, rarely, a placental site tumor, and require further treatment, and are collectively known as Gestational Trophoblastic Neoplasias with majority of them treated by chemotherapy [2,3]. The advent of selective uterine artery embolization has provided a minimally invasive and more effective alternative strategy for the management of these patients. We report a case of residual uterine vascular malformation due to invasive mole which was successfully treated with selective bilateral uterine artery embolization using glue and polyvinyl alcohol particles
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