PMC8127118_01
Transvaginal ultrasound showing enlarged placenta with dimensions of 44X38 mm and an echogenic mass of 24X17 mm.
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Transvaginal ultrasound showed suspected molar pregnancy based on an enlarged placenta as well as the mass of cysts only partially covering the uterus (Figure 1).
HSG showing the uterus and ovaries with pre (left) and post (right) cervical stenosis opening as well as demonstrating IUAs in the uterine cavity
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The stenosis was partially opened with a dilator during an HSG that was performed a month after the SIS (Figure 2).
Hysteroscopic image of the uterus before surgical removal of IUAs
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HSG, IUAs were spotted. Hysteroscopy was scheduled for a month after the HSG and revealed moderate IUAs and uterine polyps (Figure 3).
Hysteroscopic image of the uterus at the end of the procedure with successful removal of IUAs and uterine polyps
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During the hysteroscopy, there was a successful removal of scar tissues and polyps, as well as a complete dilation of the cervical stenosis (Figure 4).
A SIS with no evidence of IUA recurrence, showing normal endometrial cavity
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One-month follow-up after hysteroscopy was done, and a SIS showed no evidence of IUA recurrence (Figure 5).