Invasive mole is a benign gestational trophoblastic disease that arises from the myometrial invasion of any gestational event via direct extension through tissue or vascular structures. Invasive mole (and other gestational trophoblastic diseases) may present with life-threatening complications including uterine perforation, excessive bleeding, acute hemoperitoneum, and abdominal pain. We report a case of invasive mole presenting as abdominal distention in a 51-year-old perimenopausal woman (gravida 12, para 12, abortion 0). The patient was admitted to the gynecology clinic with a giant uterine mass filling the pelvic and abdominal cavity. To our knowledge, this is the first case in the literature of a gestational trophoblastic neoplasia presenting with uterine mass of 28 weeks' gestational size in this age group. Interestingly, complications such as uterine rupture or invasion of the adjacent structures (such as parametrial tissues or blood vessels) had not developed in our patient despite the considerable enlargement of the uterus.
Abdominal Cavity ; Abdominal Pain ; Female ; Gestational Trophoblastic Disease ; Gynecology ; Hemoperitoneum ; Hemorrhage ; Humans ; Hydatidiform Mole, Invasive* ; Hysterectomy ; Middle Aged ; Pathology* ; Pregnancy ; Trophoblasts ; Uterine Perforation ; Uterine Rupture ; Uterus

No abstract available.
Pregnancy* ; Uterine Rupture*

For 10 years (1989- 1998) in the Hospital of Obstetrics and Gynecology in Hai Phong city, 53 cases of uterine rupture had been treated. Preoperative diagnosis was positive in 36 cases. 17 cases were not diagnosed before operation, among them, 11 cases had previous cesareen section. The percentage of uterine rupture in the whole country (67.9%) is higher than that one in the Hai Phong city (32.1%) with p<0.001.
Uterine Rupture ; epidemiology

43 cases of eclampsia had been treated during 5 years (1994- 1998) in Hai Phong Obst/Gyn hospital with an incidence of 1.5% total pregnancies, and toxemia of pregnancy was 9.12% pregnancies. 70% of the patients located in rural areas, primipara was 62.8%, manual laboures: 74%, eclampsia appears in every season but frequently in winter- spring: 67.4%. * Treatment: the principal treatment included: magnesium sulfate for anticonvulsion, vasodilators for antihypertension. Cesarean section: 13 cases (30.2%). * Newborns: 50% of the babies were under 2,500 g of weight, its death rate: 9.3% (focus on the low weight births). *Conclusion -Eclampsia appears in every season especially in Winter- Spring. -The appearance is in the manual labourers and in the countyside livings.
Uterine Rupture ; epidemiology

Placenta increta is rare, but life-threatening complication of pregnancy characterized by invasion of placenta villi into the underlying myometrium. Placenta increta is usually diagnosed in the third trimester and is associated with significant blood loss and uterine perforation or rupture as well as an increased risk of infection. It also has been described as a complication of selective pregnancy termination and spontaneous pregnancy loss in the second trimester and rarely in the first trimester. We report a case of placenta increta which was presented as uterine mass after dilatation and curettage (D and C) due to missed abortion in the first trimester.
Abortion, Missed ; Animals ; Dilatation and Curettage ; Female ; Humans ; Mice ; Myometrium ; Placenta Accreta* ; Placenta* ; Pregnancy ; Pregnancy Trimester, First* ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Rupture ; Uterine Perforation

Pyometra is the accumulation of pus in the uterine cavity. The incidence of pyometra in elderly patients is approximately 13.6%. Abdominal pain, fever, and vaginal discharge are the usual symptoms, but about half of the cases of uncomplicated pyometra have no specific symptoms. Spontaneous uterine rupture, resulting from complications of pyometra, is extremely rare. We report a case of spontaneous uterine rupture due to pyometra. A 77-year-old female patient who complained of nausea, abdominal pain, and poor oral intake (which started the day before) was transferred from the local hospital after having taken an abdominal CT. She had been bedridden for a year and had a history of hypertension, cerebral infarction, and colon cancer (for which she had a successful operation 12 years prior). Upon arrival, the patient was alert and her vital signs were: blood pressure of 113/78 mmHg, temperature of 36.9degrees C, respiratory rate of 22/min, and a pulse rate of 99/min. Her bowel sound was normal and physical examinations indicated a rigid abdomen with tenderness and rebound tenderness. Free air was observed in the abdominal CT and panperitonitis, due to uterine perforation resulting from pyometra, was also suggested. Hence, an emergency operation was undertaken. During the operation, the fundus of the uterus was found to be perforated with a 1 cmx1 cm-sized passage and a purulent discharge was apparent. Both the adnexa and bowel showed adhesion, but there was no bowel perforation or evident cancerous lesion. Entercoccus faecalis was cultured from both the cervical discharge and tissue obtained during operation. In summary, emergency physicians may consider uterine perforation due to pyometra in elderly woman with peritonitis.
Abdomen ; Abdominal Pain ; Aged ; Blood Pressure ; Cerebral Infarction ; Colonic Neoplasms ; Emergencies ; Female ; Fever ; Heart Rate ; Humans ; Hypertension ; Incidence ; Nausea ; Peritonitis ; Physical Examination ; Pyometra* ; Respiratory Rate ; Suppuration ; Tomography, X-Ray Computed ; Uterine Perforation* ; Uterine Rupture ; Uterus ; Vaginal Discharge ; Vital Signs

Spontaneous uterine rupture is a rare occurrence, but a catastrophic obstetric complication, associated with high rates of maternal and perinatal morbidity and mortality. Clinicians should make a prompt diagnosis and management in patients presenting with acute abdominal pain, hypovolemic shock, and fetal compromise. We present a case of spontaneous complete rupture of uterus during early labor in term pregnancy after laparoscopic radiofrequency myolysis.
Abdominal Pain ; Humans ; Pregnancy ; Rupture ; Shock ; Uterine Rupture ; Uterus

Cesarean scar pregnancy, in which the pregnancy is implanted at the previous cesarean scar, is a very rare form of ectopic pregnancy. A delay in diagnosis can lead to uterine rupture, massive hemorrhage, and serious maternal morbidity. However, the optimal treatment is unknown. We experienced a case of viable cesarean scar pregnancy diagnosed at 13 weeks of gestation treated with uterine artery embolization and report with a brief of literatures.
Cicatrix ; Female ; Hemorrhage ; Pregnancy ; Pregnancy, Ectopic ; Uterine Artery ; Uterine Artery Embolization ; Uterine Rupture

Radiofrequency myolysis does not require general anesthesia and is safe and effective treatment for uterine myomas tried to women in women who wish to conserve the uterus. However, a controversial issue is whether radiofrequency myolysis is safe to women who desire future pregnancies. We report a case who experienced full term spontaneous vaginal delivery without uterine rupture after radiofrequency myolysis.
Anesthesia, General ; Female ; Humans ; Myoma ; Pregnancy ; Uterine Rupture ; Uterus

Implantation of a pregnancy within the scar of a previous cesarean delivery is a very rare form of ectopic pregnancy. However, this type of ectopic pregnancy is considered to be a life-threatening condition because of the very high risk of uterine rupture and uncontrollable hemorrhage. Unfortunately, optimal treatment have not been established. We present here a case of ectopic pregnancy in the previous cesarean scar treated with combined systemic and local intra-amniotic methotrexate successfully.
Cicatrix* ; Female ; Hemorrhage ; Methotrexate ; Pregnancy ; Pregnancy, Ectopic* ; Uterine Rupture