Presentation
Patient with amenorrhea of 12 weeks presented with bleeding per vaginum.
Patient Data
The uterus is enlarged with hypodense, heterogeneously enhancing contents causing distension of the uterine cavity. Both ovaries are enlarged and contain multiple cysts.
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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