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Title: Molar pregnancy in cesarean section scar: A case report
Other Titles: Sezaryen skarında molar gebelik: Olgu sunumu
Authors: Dağdeviren, Elif Gulsah
Dur, Rıza
Fadıloğlu, Erdem
Demirdağ, Erhan
Öztürk, Çağatayhan
Altay, Mehmet Metin
Keywords: Cesarean scar pregnancy
molar pregnancy
Issue Date: Dec-2017
Publisher: Turkish Society of Obstetrics and Gynecology
Source: Dağdeviren, E. G., Dur, R., Fadıloğlu, E., Demirdağ, E., Öztürk, Ç., & Altay, M. (2017). Molar pregnancy in cesarean section scar: A case report. Turkish journal of obstetrics and gynecology, 14(4), 249.
Abstract: Cesarean scar ectopic pregnancies and molar pregnancies are two very rare obstetric pathologies. In both cases, serious morbidities are involved that require careful management. The coexistence of the two clinical conditions is far less common and there are a limited number of cases in the literature. In this case report, a 34-year-old patient with previous cesarean section was diagnosed as having a molar pregnancy in a cesarean scar through ultrasonography. The patient was asymptomatic at that time. Ultrasonography revealed a protruding mass at the cesarean section and her human chorionic gonadotropin level was measured as 59.705 mIU/mL. Due to the risk of severe bleeding, cesarean section scar excision and revision were performed via laparotomy after counselling the patient. Removal of all trophoblastic tissue was observed as a result of the frozen pathology and the operation was terminated. After the definite pathology result came as a complete molar pregnancy, the patient was followed up according to molar pregnancy follow-up protocols and cured completely. Despite the alternative treatment options (methotrexate application, curettage, uterine artery embolization) in such patients, the decision for surgery was made after counselling the patient. In this very rare clinical condition, patients should be closely monitored and the appropriate treatment option should be applied as soon as possible, taking into consideration the bleeding risks of both pathologies.
ISSN: 2149-9322
Appears in Collections:Cerrahi Tıp Bilimleri Bölümü / Department of Surgical Sciences
PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
TR Dizin İndeksli Yayınlar / TR Dizin Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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