Complete hydatidiform mole with bilateral theca lutein cysts

Case contributed by Dr Kewal Arunkumar Mistry


Patient with amenorrhea of 12 weeks presented with bleeding per vaginum.

Patient Data

Age: 21 years
Gender: Female

CT scan shows an enlarged uterus with hypodense, heterogeneously enhancing contents causing distension of the uterine cavity. Both ovaries are enlarged and contain multiple cysts.

On transabdominal US the uterus is markedly enlarged with presence of echogenic contents and multiple small cystic areas within the uterine cavity. Both ovaries are enlarged and show multiple cysts within them with few showing fluid debris levels likely due to hemorrhage within the cysts.

Case Discussion

Undiluted urine pregnancy test was negative which is likely due to the pro-zone phenomenon (due to very high urinary beta hCG). US was suggestive of complete hydatidiform mole with theca lutein cyst. Subsequently abdominal and thoracic CT scan was done which revealed no metastasis or obvious extrauterine extension.

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Case information

rID: 34775
Published: 8th Mar 2015
Last edited: 15th Oct 2019
System: Gynaecology
Inclusion in quiz mode: Included

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