Abstract
No abstract available.
Highlights
This case emphasises the role of sonography in the diagnosis of a complete molar pregnancy
Complete molar pregnancy is part of the spectrum of disorders characterised by abnormal proliferation of pregnancy-related trophoblasts
At pathology there is no fetal development and the placenta is entirely replaced by abnormal, hydropic chorionic villi with excessive trophoblastic proliferation. It is characterised by excessive uterine size, as well as B-HCG levels in the 100 000s IU/l, hyperemesis gravidarum, toxaemia, hyperthyroidism and respiratory failure
Summary
A 53-year-old female, para 13 gravid 13, presented to the casualty department of Pretoria Academic Hospital with a complaint of PV (per vagina) bleeding. On clinical examination she was found to be anaemic and had an enlarged, 20 cm uterus, with adnexal tenderness. Routine blood tests were normal, except for a B-HCG level of 843 636 IU/l. On transabdominal sonar the uterus measured approximately 23 cm in length x 12 cm in width with hyperechoic vesicular contents and densely packed multiple small cysts. The rest of the abdomen and pelvis were normal. A diagnosis of complete molar pregnancy was made (Figs 1a and b)
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