title: Cesarean scar molar pregnancy.
abstract: BACKGROUND
  Molar pregnancy found in a cesarean scar is exceedingly rare. It can be challenging to manage and can have potentially catastrophic consequences.
  
  
  METHODS
  A 34-year-old multigravid woman presented with persistent symptoms of pregnancy after a surgical termination of pregnancy. Cesarean scar molar pregnancy was suspected on ultrasonography, and suction evacuation was performed under ultrasound guidance. This was followed by bimanual compression, oxytocin, and uterine artery embolization to reduce bleeding.
  
  
  CONCLUSIONS
  A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy.
authors.affiliation: From the Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Pok Fu Lam, Hong Kong.
authors.forename: Jennifer K Y
authors.initials: JKY
authors.lastname: Ko
authors.forename: Hei Lok
authors.initials: HL
authors.lastname: Wan
authors.forename: Siew Fei
authors.initials: SF
authors.lastname: Ngu
authors.forename: Vincent Y T
authors.initials: VYT
authors.lastname: Cheung
authors.forename: Ernest H Y
authors.initials: EHY
authors.lastname: Ng
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D002921:Cicatrix / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy