A case report of hydatidiform mole:A Diagnostic Dilemma

Dr Malini Bharadwaj,Dr Tarani Shinde

doi:10.17511/joog.2019.i01.05

Abstract

Molar pregnancy is a part of gestational trophoblastic disease, and can rarely be associated with hyperthyroidism. We report a case of complete hydatidiform mole who initially presented as one and half month amenorrhea and bleeding per vaginum, with an ultrasonography report suggestive of multiple gestational sacs without any fetal pole, leading to a provisional diagnosis of threatened abortion. Then, routine investigations were done and raised beta HCG value were suggestive of choriocarcinoma and hydatidiform mole which was later confirmed by histopathological examination.

Highlights

Gestational trophoblastic disease (GTD) is a rare complication of pregnancy that may be associated with hyperthyroidism
GTD lesions are histologically indistinct. They include benign lesion which comprises of complete and partial hydatidiform mole and malignant lesions consisting of invasive mole, choriocarcinoma, epithelioid trophoblastic tumor and placental site trophoblastic tumor [1,2]
The most common features are vaginal bleeding with lower abdominal pain and expulsion of grape like vesicles. This is a rare complication of pregnancy that may be associated with hyperthyroidism

Summary

Introduction

Gestational trophoblastic disease (GTD) is a rare complication of pregnancy that may be associated with hyperthyroidism. They include benign lesion which comprises of complete and partial hydatidiform mole and malignant lesions consisting of invasive mole, choriocarcinoma, epithelioid trophoblastic tumor and placental site trophoblastic tumor [1,2]. A 20 year old women, gravida 2 para 1, presented to the OPD at JK Hospital with history of one and half month amenorrhea and UPT positive with complaint of lower abdominal pain and bleeding per vaginum since 15 days She carried a USG report which showed multiple gestational sacs without any fetal pole. A.Investigations- Ultrasonography findings showed bulky uterus with significant heteroechoic debris collection along with color pick up suggestive of hematometra Another USG finding was suggestive of multiple gestational sacs without any fetal pole. Patient was counseled for all the risks and follow up beta hcg was advised

Discussion

Conclusion