Modified novel management of cervical molar pregnancy and its related
A-30-years-old-primigravida-patient with significant vaginal bleeding
for 1-week following amenorrhea for 2-months and a positive pregnancy
test. Duplex-US findings were suggesting cervical molar-pregnancy.
Systemic methotrexate was administered as first-line therapy but
necessitated dilatation-and-curettage followed by
intracervical-diluted-vasopressin and adequate intracervical
foley’s-balloon inflation to control bleeding but it was failed. Then,
we resorted modified novel management of cervical molar pregnancy and
its complications as uterine artery embolization with embologent gelfoam
“slurry” soaked with methotrexate called
trans-arterial-chemo-embolization (gTACE) for an immediate successful
hemostatic measure to save the life and uterus of the patient suffering
from rare manifestations of gestational trophoblastic disease.