Invasive mole is a form of persistent or metastatic gestational trophoblastic disease presenting usually after hydatiform mole 6-10 times more common than choriocarcinoma. It is defined as molar gestation invading the myometrium or uterine vessels. Persistent vaginal bleeding after evacuation of molar pregnancy and persistent elevation of beta HCG [1] . The presentation of secondaries is after few months to years in choriocarcinoma but immediately in cases of invasive mole [2] . The following case is a spectrum showing a diagnostic dilemma between choriocarcinoma or invasive mole or a consistent finding of AV malformation in the ultrasonography because of lack of an initial histopathological evidence of molar pregnancy from the evacuated products of conception and also posed a difficulty in deciding the mode of treatment considering the age of the patient whether conservative or radical surgery.

Cervical fibroids are rare pelvic tumours with varying clinical presentations. Clinical and radiological evaluation of these fibroids help in deciding the treatment approach. There will be surgical difficulties due to their close proximity to pelvic organs like bladder, ureters and rectum. Hence proper intraoperative delineation is important. We present a series of four cases of cervical fibroid with different presentations and management. All these cases were evaluated and surgically managed without complications. The first and third case presented with huge mass per abdomen and pressure symptoms. Both underwent exploratory laparotomy where fibroid was enucleated followed by hysterectomy. The second and fourth case mimicked like a large polyp. In both the cases, cervical fibroid was excised vaginally and was followed by hysterectomy. Histopathological examination was suggestive of cervical leiomyoma. Therefore, cervical fibroid as a differential diagnosis should always be considered while evaluating any pelvic masses.

Cervical pregnancy is defined as implantation and development of the fertilized ovum within the cervical structure without involving the corpus uteri. This rare ectopic gestation has been reported in the literature infrequently. We report here a case presenting late with life threatening vaginal bleeding. G3 P2L2 with Previous two Caesarean sections with history of amenorrhea of 3 months presented to our emergency obstetric unit with heavy bleeding per-vaginum since one day. Patient gave history of having taken abortive pills from a private practitioner, details of which were not available. Differential diagnosis of cervical abortion and scar site pregnancy were considered. Ultrasound features can help diagnose this condition with fair accuracy. Ultimately an emergency salvage Hysterectomy was needed to save the life of the patient.

We are presenting a rare case of 23-year-old G2P1L1 with 14 weeks of gestation age with chronic hypertension with recently diagnosed severe aortic stenosis with coarctation of aorta who had undergone aortic valve replacement and coarctoplasty at her 28 th weeks of gestation under close observation throughout her ANC period. Elective cesarian section was done at 36 weeks of gestation with good maternal and neonatal outcome.

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