One must exclude multiple fetuses,
molar pregnancy and thrombophilia, if there is sudden drop in blood pressure, exclude the intra uterine death.
"She explained that it derived from a
molar pregnancy which happens to about one in 50 pregnant ladies.
These include increased (older than 40 years) or decreased (under 20 years) maternal age, decreasing number of births, history of prior
molar pregnancy or miscarriage, and oral contraceptives use.
I suffered a miscarriage and then a
molar pregnancy.
The differential diagnosis of hydatidiform moles includes a variety of nonmolar entities that can exhibit some features suggestive of a
molar pregnancy. These include products of conception specimens with abnormal villous morphology, early nonmolar specimens with prominent trophoblastic hyperplasia, hydropic abortuses, and androgenetic/biparental mosaic conceptions.
(2) It arises from malignant placental B-hCG secreting trophoblastic cells and typically occurs in the setting of a
molar pregnancy. Maternal metastases are rarely seen in normal pregnancy (about 1 in 50,000 live births).
Ultrasound revealed that the uterine cavity was significantly extended and filled with an echogenic soft-tissue mass that had small cystic components, most compatible with complete
molar pregnancy.
For
molar pregnancy (also known as a hydatiform mole, a rare mass that can form inside the womb during early pregnancy, resulting in an abnormal fetus), surgery is the first, and often only treatment required.
About 75% of the cases occur following a normal pregnancy, 17% following abortion, and only 5% of the cases occur following
molar pregnancy. (1) It presents at early reproductive age and the serum beta-hCG level is much lower than choriocarcinoma.
Keywords: Choriocarcinoma, Gestational trophoblastic neoplasia,
Molar pregnancy.
Manual vacuum aspiration of
molar pregnancy achieves similar outcomes to electric vacuum aspiration, although it may lead to a lower incidence of uterine synechia, according to a paper published in the April edition of Obstetrics & Gynecology.
Its malignant potential is similar to that of an intrauterine
molar pregnancy.[3] Although ultrasonography is useful in the diagnosis of uterine molar pregnancies, there is a chance of missing this diagnosis in cases of an ectopic
molar pregnancy.[4],[5] We report a case of ectopic molar gestation diagnosed by ultrasonography.
molar pregnancy - an abnormality during pregnancy; chorionic villi around the fetus degenerate and form clusters of fluid-filled sacs; usually associated with the death of the fetus