Cervical hydatidiform mole causing severe vaginal hemorrhage: a case report.

BACKGROUND: First-trimester vaginal bleeding occurs in approximately 20% of pregnancies and is a frequent cause of emergency department evaluation. Hydatidiform mole, although relatively rare, typically presents as intermittent vaginal bleeding during the first trimester of pregnancy.

CASE: A 37-year-old woman had severe vaginal bleeding secondary to cervical implantation of a hydatidiform mole. Treatment included stay sutures, similar to those used in cervical cerclage, to control the hemorrhage and allow stabilization of the patient. Evaluation showed that the hydatidiform mole appeared to have been confined to the cervix, and much of the tissue was removed or spontaneously passed while obtaining hemostasis.

CONCLUSION: A very rare case of hydatidiform mole with cervical implantation presented as a massive vaginal hemorrhage. The use of stay sutures in a manner similar to cervical cerclage allowed stabilization while further evaluation and treatment were contemplated.