Complete hydatidiform mole

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

PV bleeding and nausea with history of two months amenorrhea.

Patient Data

Age: 25 years
Gender: Female
ultrasound

Bulky uterus. No intra or extra-uterine gestational sac is seen. An intrauterine mass with multiple cystic spaces having a bunch of grapes appearance is noted. No suspicious adnexal pathology is seen.

Photo

Histopathology showed complete hydatidiform mole.

Case Discussion

Beta-hCG = 471478 mIU/ml.

The patient underwent an uneventful D&C (dilatation and curettage) and was discharged in a stable condition with an instruction of 6 months contraception.

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