Successful Pregnancy after Conservative Surgical Management of Uterine Rupture due to Gestational Trophoblastic Neoplasia: A Case Report

Abstract

GTN (Gestational trophoblastic neoplasm) complications such as uterine rupture or massive bleeding can be life-threatening and usually need a hysterectomy. In young patients who want to preserve fertility, hysterectomy is not suitable. Under specific circumstances, some physicians choose conservative management. Uterine preservation after complicated GTN is rare by itself. This study presents a 26-year-old woman who developed uterine rupture and massive intraperitoneal bleeding under chemotherapy for GTN. The patient strongly desired her fertility to be preserved; thus, conservative surgical management was done, and the patient could become pregnant in upcoming years.In conclusion, conservative management of GTN patients who develop high-risk complications and desire for future pregnancies must be considered an option. In published case reports, outcomes of conservative surgical management have been very good if managed properly.