Invasive mole presenting as pain abdomen
Keywords:
Invasive mole, Gestational trophoblastic neoplasm, UltrasoundAbstract
Gestational trophoblastic neoplasms (GTN) are proliferative as well as degenerative disorders of placental elements and include complete or partial mole (90%), invasive mole (5.8%), choriocarcinoma (1-2%) and placental site tumor (1-2%). 15% of complete mole can develop into invasive mole. Very rarely (2-4%) partial mole can develop into invasive one presenting with features of incomplete abortion, mixed abortion and sometimes as obstetric emergencies like intraperitoneal hemorrhage. So, proper diagnosis and timely intervention can prevent mortality and reduce the morbidity of the patients.
References
Yip SK, Hin LY, Chung TKH. Effect of the duration of labor on postpartum postvoid residual bladder volume. Gynecol Obstet Invest 1998;45:177-80.
Ching-Chung L, Shuenn-Dhy C, Ling-Hong T, Ching-Chang H, Chao-Lun C, Po-Jen C. Postpartum urinary retention: assessment of contributing factors and long-term clinical impact. Aust N Z J Obstet Gynaecol. 2002 Oct;42(4):365-8.
Groutz A, Gordon D, Wolman I, Jaffa A, Kupferminc MJ, Lessing JB. Persistent postpartum urinary retention in contemporary obstetric practice. Definition, prevalence and clinical implications. J Reprod Med 2001;46:44-8.
Cardozo L, Gleeson C. Pregnancy, childbirth and continence. British Journal of Midwifery 1997;5:277-81.
Rizvi RM, Khan ZS, Khan Z. Diagnosis and management of postpartum urinary retention. Int J Gynecol Obstet 2005;91:71-2.
Carley ME, Carley JM, Vasdev G, Lesnick TG, Webb MJ, Ramin KD, et al. Factors that are associated with clinically overt postpartum urinary retention after vaginal delivery. Am J Obstet Gynecol 2002;187: 430-3.
Vakalopoulos I, Kampantais S, Dimopoulos P, Papastavros C. Treatment of obstructive uropathy in one of three young brothers suffering from Gorlin-Cohen syndrome: a case report. BMC Urol 2012;12:2.
