UTERINE PERFORATION AS A SEQUEL TO REPEATED CURETTAGE FOR MOLAR

Abstract

An 18 year old girl was subjected to emergency hysterectomy and unilateral salpingo-oophorectomy for uterine perforation because of repeated dilatation and curettage for persisting vaginal bleeding following molar evacuation. As significant proportion of molar do progress into Gestational trophoblastic Neoplasia which in this case was choriocarcinoma; directs our attention to the fact that proper follow up of post molar cases using at least urinary beta HCG and instituting chemotherapy whenever necessary should be advocated in order to avoid such a drastic management. Key Words: Uterine perforation, molar, Gestational Trophoblastic Neoplasia (GTN)