1. Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
- Author
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Lauren Fisher, Amin Bahabri, Anna Clare, and Babak Shakeri
- Subjects
Gestational trophoblastic disease ,Gestational trophoblastic neoplasm ,Uterine perforation ,Arteriovenous malformation ,Surgery ,RD1-811 ,Gynecology and obstetrics ,RG1-991 - Abstract
This case report outlines the clinical course of a young woman who presented as haemodynamically unstable due to uterine perforation. She had undergone suction dilation and curettage three weeks prior and received a diagnosis of complete molar pregnancy. During her most recent acute presentation, an emergency laparotomy revealed a full-thickness fundal uterine rupture in a region of newly identified arteriovenous malformation. Haemostasis was achieved with the primary repair of the perforation. She was subsequently diagnosed with gestational trophoblastic neoplasm (GTN), a condition characterised by abnormal proliferation of trophoblastic tissue. She received three courses of methotrexate followed by a two-month course of dactinomycin. At one-year surveillance, she had made a complete recovery.
- Published
- 2024
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