A pregnancy with a hydatidiform mole, thyreotoxicosis and live-born infant.
A 26-year-old woman, pregnant for the 3rd time, was admitted in the 2nd trimester with bleeding and slight signs of thyreotoxicosis. The free thyroxin, total thyroxin and TRH-test confirmed the diagnosis. The patient was delivered 8 weeks before term of a living boy of 1680 g. Immediately after the child, a 300 g normal placenta was born, followed by 650 g of molar tissue. Four weeks after birth and evacuation of the molar tissue, the patient was euthyreoid, with normal thyreoid parameters. It is presumed to have been a twin pregnancy, in which the part transformed to molar tissue has secreted a thyroid stimulating factor.
D000328:Adult; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications*; D006980:Hyperthyroidism / Q000150:complications*; D007231:Infant, Newborn; D007234:Infant, Premature; D010920:Placenta / Q000000981:diagnostic imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis; D011272:Pregnancy, Multiple; D011877:Radionuclide Imaging; D013974:Thyroxine / Q000097:blood; D014427:Twins; D014594:Uterine Neoplasms / Q000150:complications*
D013974:Thyroxine