Complete hydatidiform mole

Case contributed by Dr Ammar Ashraf

Presentation

History of 11 weeks of amenorrhea. Mild PV bleeding for 3 weeks, associated with nausea and vomiting. No fever.

Patient Data

Age: 45 years
Gender: Female
Ultrasound

Bulky anteverted uterus  with a large isoechoic intrauterine mass containing multiple tiny cystic areas (resembling snow storm or bunch of grapes). No significant internal vascularity is seen in it on color Doppler ultrasound examination. No fetal parts are noted. 

Impression: Sonographic features are suggestive of gestational trophoblastic disease (complete hydatidiform mole).

Photo

Histopathology report

Histopathology report of the uterine contents removed during suction evacuation.

Case Discussion

Laboratory investigations demonstrated abnormally elevated serum beta HCG = 1037841 IU/L (normal range 0.0-5.0IU/L). The patient underwent dilation and suction evacuation. Histopathological analysis of the submitted specimen showed complete hydatidiform mole.

 

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Case information

rID: 82767
Published: 5th Oct 2020
Last edited: 5th Oct 2020
Inclusion in quiz mode: Included
Institution: Ministry of national guard health affairs