Pregnancy success following conservative treatment of uterine perforation by invasive mole: A case report.

ABSTRACT

A 20 year-old woman, G3 P1 A2, had a molar pregnancy four years ago, and was treated by vacuum suction and uterine curettage. Five weeks later, she was admitted for chemotherapy because of a rising in urine hCG titre. During that treatment she developed an abdominal pain with shock. An exploratory laparotomy was performed, and it was found that the uterus had a perforation of 3 mm. in diameter at the fundal region near the right cornea. Conservative treatment was performed by suturing the perforation and followed by chemotherapy foe nine courses until complete remission. Three years following the treatment, she had a normal pregnancy, and delivered by caesarean section a normal male baby of weight 2740 gms.