Management of acute haemorrhage following chemotherapy for invasive molar pregnancy by embolization and conservative fertility-sparing surgery

Abstract

Management of perforated invasive molar pregnancy, especially, in those women desirous of future fertility can be difficult. We report one of the very few instances, to our knowledge, where a combination of preoperative uterine artery embolization and conservative surgical techniques was used. This was successful in terms of minimising intraoperative blood loss and long term in attaining control of disease when combined with multiagent chemotherapy. Subsequent term pregnancy was achieved with no maternal of fetal complications.

Keywords

• Invasive
• Molar
• Pregnancy
• Fertility-sparing
• Embolisation