Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report

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...

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Main Authors: Lauren Fisher, Amin Bahabri, Anna Clare, Babak Shakeri
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911223001030
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author Lauren Fisher
Amin Bahabri
Anna Clare
Babak Shakeri
author_facet Lauren Fisher
Amin Bahabri
Anna Clare
Babak Shakeri
author_sort Lauren Fisher
collection DOAJ
description 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.
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spelling doaj.art-bee0a28a25c64b09899523d0d73170c32024-01-25T05:23:02ZengElsevierCase Reports in Women's Health2214-91122024-03-0141e00579Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case reportLauren Fisher0Amin Bahabri1Anna Clare2Babak Shakeri3Corresponding author.; Fiona Stanley Hospital, Perth, Western Australia, AustraliaFiona Stanley Hospital, Perth, Western Australia, AustraliaFiona Stanley Hospital, Perth, Western Australia, AustraliaFiona Stanley Hospital, Perth, Western Australia, AustraliaThis 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.http://www.sciencedirect.com/science/article/pii/S2214911223001030Gestational trophoblastic diseaseGestational trophoblastic neoplasmUterine perforationArteriovenous malformation
spellingShingle Lauren Fisher
Amin Bahabri
Anna Clare
Babak Shakeri
Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
Case Reports in Women's Health
Gestational trophoblastic disease
Gestational trophoblastic neoplasm
Uterine perforation
Arteriovenous malformation
title Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
title_full Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
title_fullStr Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
title_full_unstemmed Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
title_short Uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation: A case report
title_sort uterine perforation associated with gestational trophoblastic disease and arteriovenous malformation a case report
topic Gestational trophoblastic disease
Gestational trophoblastic neoplasm
Uterine perforation
Arteriovenous malformation
url http://www.sciencedirect.com/science/article/pii/S2214911223001030
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