A 33-year-old woman was admitted to our gynaecology out-patient clinic with mild vaginal bleeding. She had previously had three caesarean deliveries. The uterus was bulky, equivalent to 20 weeks' gestation on pelvic examination. Laboratory findings were unremarkable. Ultrasonographic examination showed a 13-week-old fetus with no cardiac activity and cystic degeneration of the placenta. Doppler ultrasound showed a low impedance flow pattern with the suspicion of adherent placenta invading the uterine wall. The patient was diagnosed with partial hydatidiform mole. Suction evacuation was planned. The complications of this surgical procedure were explained, including the possible need for hysterectomy and arterial embolisation. Profuse bleeding occurred during uterine evacuation.
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