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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References
- Clinical aspects of gestational trophoblastic disease.in: Katz V.L. Lentz G.M. Lobo R.A. Gershenson D.M. Comprehensive gynecology. 5th edn. Mosby, Philadelphia2007: 889-896
- Molar pregnancy.in: Marx J. Rosen's emergency medicine: concepts and clinical practice. 5th edn. Mosby, Philadelphia2005: 2419-2420
- A prospective study of ultrasound screening for molar pregnancies in missed miscarriages.Ultrasound Obstet Gynecol. 2005; 25: 493-497
- The diagnostic implications of routine ultrasound examination in histologically confirmed early molar pregnancies.Ultrasound Obstet Gynecol. 2001; 18: 662-665
Article info
Publication history
Published online: May 18, 2009
Accepted:
April 11,
2009
Received:
December 11,
2008
Identification
Copyright
Published by Elsevier Inc.
