Abstract
While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia.
Highlights
UC IrvineWestern Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 14(5)
Invasive, metastatic gestational trophoblastic disease (GTD) is very rarely seen in the emergency department (ED), but it must be recognized and treated appropriately and immediately to prevent serious complications
We present a case of a young woman who presented 30 days after evacuation of a molar pregnancy with invasive and metastatic gestational trophoblastic neoplasia (GTN) complicated by a uterine rupture and hemoperitoneum
Summary
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 14(5)
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