Deng Yuanmei, Li Ya Chai, Li Meng, Yan Liwei, Mi Jiarui
Department of Obstetrics and Gynecology, Hebei University Affiliated Hospital, Hebei, China.
Medicine (Baltimore). 2025 Sep 5;104(36):e44140. doi: 10.1097/MD.0000000000044140.
Cesarean scar pregnancy with molar pregnancy is a rare but high-risk pregnancy complication characterized by the implantation of a fertilized egg in the uterine scar following cesarean section, accompanied by pathological manifestations of a hydatidiform mole. This paper reports a clinical case of hydatidiform mole in a cesarean scar and reviews the literature to understand its diagnosis and treatment strategies.
We reported a 33-year-old woman who presented to our hospital with intermittent vaginal bleeding for over 2 months following uterine curettage.
Transvaginal ultrasonography, serum human chorionic gonadotropin, pelvic magnetic resonance imaging, and histological examination confirmed the disease.
The patient underwent bilateral uterine arterial embolization, suction evacuation, and transabdominal surgery.
Postoperative histological examination of the tissue revealed hydatidiform moles.
Molar pregnancy in the cesarean scar is difficult to differentiate from normal cesarean scar pregnancy with serum human chorionic gonadotropin, sonogram, or magnetic resonance imaging. This case demonstrates the diagnosis and treatment strategy for cesarean scar pregnancy with molar pregnancy.
剖宫产瘢痕妊娠合并葡萄胎是一种罕见但高危的妊娠并发症，其特征为剖宫产术后受精卵着床于子宫瘢痕处，并伴有葡萄胎的病理表现。本文报告一例剖宫产瘢痕处葡萄胎的临床病例，并复习文献以了解其诊断和治疗策略。
我们报告了一名33岁女性，她在刮宫术后出现间歇性阴道出血2个多月，随后前来我院就诊。
经阴道超声检查、血清人绒毛膜促性腺激素检测、盆腔磁共振成像及组织学检查确诊了该疾病。
患者接受了双侧子宫动脉栓塞、刮宫术及开腹手术。
术后组织的组织学检查显示为葡萄胎。
剖宫产瘢痕处的葡萄胎难以通过血清人绒毛膜促性腺激素、超声检查或磁共振成像与正常剖宫产瘢痕妊娠相鉴别。本病例展示了剖宫产瘢痕妊娠合并葡萄胎的诊断和治疗策略。
