INTRAPARTUM UTERINE RUPTURE IN A PRIMIPAROUS PATIENT PREVIOUSLY TREATED FOR INVASIVE MOLE

Background: Intrapartum rupture of the uterus in a primiparous patient is an exceedingly rare event. This case report describes uterine rupt ure in a woman with previous invasive hydatidiform mole. Case: A 27-ye ar-old primiparous woman with a history of gestational trophoblastic n eoplasia treated successfully with chemotherapy experienced intrapartu m uterine rupture with subsequent neonatal death. Magnetic resonance i maging of the uterus had shown evidence of myometrial invasion by the mole. Weakening of the uterine wall secondary to myometrial destructio n is believed to have caused the uterine rupture. Conclusion: Many wom en will attempt to conceive following treatment for gestational tropho blastic neoplasia. It is important to determine whether there is any l ocal invasion of the myometrium, as this can affect intrapartum manage ment in subsequent pregnancies.