Hydatidiform mole

Case contributed by Dr David Clemo Steel

Presentation

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

Patient Data

Age: 20
Gender: Female
CT

Large uterus with rapidly enhancing heterogenous material, with multiple cystic, granular, grapelike 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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Case information

rID: 49535
Case created: 25th Nov 2016
Last edited: 28th Nov 2016
System: Gynaecology
Inclusion in quiz mode: Included

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