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Open Access Publications from the University of California

Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm

  • Author(s): Bruner, David I;
  • Pritchard, Amy M;
  • Clarke, Jonathan E
  • et al.

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.]

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