Hydatidiform mole

Case contributed by David Clemo Steel
Diagnosis probable


Large uterus inconsistent with 20 weeks pregnancy, with no ultrasound. Now with PV bleeding, presents to the emergency department.

Patient Data

Age: 20 years
Gender: Female

Large uterus with rapidly enhancing heterogenous material, with multiple cystic, granular, grape-like formations. No finding of disemmination on chest and abdomen CT.

Case Discussion

The BhCG was 50990 (markedly raised) and the US suggestive of gestational trophoblastic disease. CT is usually used to evaluate invasive mole or secondary localization.

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