Visual diagnosis in emergency medicine| Volume 41, ISSUE 4, e93-e94, October 2011

Molar Pregnancy in a Woman with Second Trimester Painless Vaginal Bleeding

      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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