Molar pregnancies encompass a spectrum of gestational diseases characterized by proliferation of chorionic villi. Moles can be partial or complete and carry risk of persistent gestational trophoblastic disease. Prompt diagnosis and appropriate management including gynecology consultation and surgical evacuation is necessary to minimize risks of invasion into the myometrium or evolution into choriocarcinoma. We present the case of a 22-year-old woman who presented with vaginal bleeding to the Emergency Department (ED) and was diagnosed with a molar pregnancy by bedside ultrasonography and taken to the operating room by the Gynecology service without any further imaging studies.
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Published online: May 18, 2009
Accepted: April 11, 2009
Received: December 11, 2008
Published by Elsevier Inc.