MANAGEMENT OF A CASE OF MOLAR PREGNANCY IN BICORNUATE UTERUS: CASE REPORT

Abstract

Gestational trophoblastic disease is a common gynaecological problem with incidence of 1 in 1000 pregnancies.  Uterine anomalies occur approximately in 0.5 to 10% of all women and hence presenting a rare case of molar pregnancy in bicornuate uterus. GTD is curable with accurate initial management. GTD produces high levels of human chorionic gonadotropin, which can be measured in either blood or urine and is extremely high in molar pregnancy .A 22 years old female gravida 2 para 1 living 1 with previous LSCS came to Bharati hospital with 4 months amenorrhea for routine antenatal check-up. Patient was not registered and uninvestigated. Patient was advised Obstetric USG which came suggestive of unicollis bicornuate uterus showing gestational sac of 5 centimeters in diameter with multiple cystic spaces with ecogenic content in right horn suggestive of molar pregnancy (snowstorm appearance). Her ?-hcg was 24145.89 miu/ml grossly corresponding to 16 weeks of pregnancy. Patient was posted for suction and evacuation after basic investigations. After suction and evacuation under GA, patient ?-hcg  was reevaluated. A decrease in ?-hcg level to 19583.57 miu/ml was suggestive of remission

Key words: Molar pregnancy, Beta-Hcg , Bicornuate uterus.