Hydatidiform mole in a 43-year-old woman with 11 weeks gestation: A case reports

  • cipta pramana medical faculty tarumanagara university Jakarta

Abstract

Hydatid mole is one of the cases where the net occurs. Diagnosis of molar must be done immediately and precisely because it can become malignant and can cause seriousness due to heavy bleeding. We report a 43-year-old woman 11-weeks pregnant with complaints of vaginal bleeding. This case is interesting because the patient has a risk factor, namely 43 years old. On vaginal examination, blood was found, the external uterine ostium was open and the fundal height was felt like 24 weeks of gestation. A positive urine ?-hCG titers up to 1/400 and ultrasound on the abdomen revealed a snowstorm appearance without the fetus. Diagnosis of the hydatidiform mole is complete and then curettage is performed. The collected tissue is taken for histopathological examination. There were no complications during and after the curettage procedure. The patient came home in good condition and healthy.

References

Cunningham F, Leveno K, Bloom S, Spong CY, D. J. (2014). William Obstetrics. Mcgraw-hill.
Kang., S. G. M. (2020). Hydatidiform Mole. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK459155/
Kosmas, I. P., Tatsi, C., Sifakis, S., Tzabari, A., Kiortsis, D., Mynbaev, O., Baldini, D., & Malvasi, A. (2016). Assisted reproductive technique complications in pregnancy. In Management and Therapy of Early Pregnancy Complications: First and Second Trimesters. https://doi.org/10.1007/978-3-319-31377-1_10
Lurain, J. R. (2010). Gestational trophoblastic disease I: Epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. American Journal of Obstetrics and Gynecology, 203(6), 531–539. https://doi.org/10.1016/j.ajog.2010.06.073
Ngan, H. Y. S., Seckl, M. J., Berkowitz, R. S., Xiang, Y., Golfier, F., Sekharan, P. K., & Lurain, J. R. (2015). Update on the diagnosis and management of gestational trophoblastic disease. International Journal of Gynecology and Obstetrics, 131, S123–S126. https://doi.org/10.1016/j.ijgo.2015.06.008
Tse, K. Y., & Ngan, H. Y. S. (2012). Gestational trophoblastic disease. Best Practice and Research: Clinical Obstetrics and Gynaecology, 26(3), 357–370. https://doi.org/10.1016/j.bpobgyn.2011.11.009
Published
2021-12-18