Citation, DOI, disclosures and case data
Newman C, Hydatidiform mole. Case study, Radiopaedia.org (Accessed on 09 Jun 2023) https://doi.org/10.53347/rID-99201
At the time the case was submitted for publication Chris Newman had no recorded disclosures.View Chris Newman's current disclosures
26 Apr 2022
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Case of the day:
27 Jul 2022
G2P1. Previous inconclusive scan at 5 weeks gestation presents with hyperemesis. ? viability.
Age: 40 years
From the case: Hydatidiform mole
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- distended uterine cavity by an enlarged heterogenous placenta showing multi-cystic 'bunch of grapes' appearance
- small volume anechoic fluid, which may represent either an irregular empty gestational sac, which is being compressed and displaced by the heterogenous mass or simple fluid within the cavity
- no definite fetal parts
- the mass demonstrates increased vascularity on Doppler assessment
- no myometrial invasion
- right ovarian corpus luteum
- no pelvic free fluid
Hydatidiform moles are within the spectrum of gestational trophoblastic disease, which results in abnormal proliferation of trophoblastic tissue.
This patient's beta HCG was very high relative to the expected conception date.