Document Detail

Cervical hydatidiform mole causing severe vaginal hemorrhage: a case report.
MedLine Citation:
PMID:  8926616     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: First-trimester vaginal bleeding occurs in approximately 20% of pregnancies and is a frequent cause of emergency department evaluation. Hydatidiform mole, although relatively rare, typically presents as intermittent vaginal bleeding during the first trimester of pregnancy. CASE: A 37-year-old woman had severe vaginal bleeding secondary to cervical implantation of a hydatidiform mole. Treatment included stay sutures, similar to those used in cervical cerclage, to control the hemorrhage and allow stabilization of the patient. Evaluation showed that the hydatidiform mole appeared to have been confined to the cervix, and much of the tissue was removed or spontaneously passed while obtaining hemostasis. CONCLUSION: A very rare case of hydatidiform mole with cervical implantation presented as a massive vaginal hemorrhage. The use of stay sutures in a manner similar to cervical cerclage allowed stabilization while further evaluation and treatment were contemplated.
D J Beless
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  40     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-10-25     Completed Date:  1996-10-25     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  855-8     Citation Subset:  IM    
Department of Surgery, Emory University School of Medicine, Atlanta, GA 30365, USA.
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MeSH Terms
Hydatidiform Mole / complications*,  pathology,  surgery
Pregnancy Trimester, First
Suture Techniques
Uterine Cervical Neoplasms / complications*,  pathology,  surgery
Uterine Hemorrhage / etiology*

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