What condition presents with heavy vaginal bleeding several days post-abortion?

Heavy vaginal bleeding several days following an abortion can indicate several potential complications; however, molar pregnancy is particularly relevant in this context. A molar pregnancy, or gestational trophoblastic disease, involves the abnormal growth of trophoblastic tissue and can occur following an incomplete abortion or as a new condition.

In cases of a molar pregnancy, there may be an increase in hCG levels and atypical presentation of bleeding that might occur well after the abortion procedure. This bleeding can be heavy and may not respond to usual management of post-abortion care, necessitating further investigation and management.

Other conditions that can present with heavy vaginal bleeding post-abortion, like uterine rupture or placenta previa, are less common in this specific scenario. Uterine rupture typically presents more dramatically and often in cases of prior uterine surgery, while placenta previa would mostly be a concern in the context of ongoing pregnancy rather than post-abortion. Ovarian torsion generally presents with abdominal pain rather than abnormal vaginal bleeding and is unrelated to the abortion process.

In summary, a molar pregnancy is a critical consideration for heavy vaginal bleeding post-abortion due to its unique pathophysiology and association with incomplete trophoblastic growth, leading to potential complications that require