Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm
- Author(s): Bruner, David I
- Pritchard, Amy M
- Clarke, Jonathan E
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2013.4.15868
While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia. [West J Emerg Med. 2013;14(5):444–447.]