Presentation
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
From the case:
Hydatidiform mole
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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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