Partial hydatidiform molar pregnancy presenting with severe preeclampsia prior to twenty weeks gestation: a case report and review of the literature.
A previously healthy 37-year-old Latin American female presented at 17 6/7 weeks gestation with clinical manifestations of preeclampsia. Ultrasound revealed a growth-retarded fetus with hypoechoic bowel, a thickened cystic placenta, bilateral multicystic adnexal masses, and oligohydramnios. The patient had laboratory evidence of hyperthyroidism and the maternal serum alpha-fetoprotein was 12.3 multiples of the mean. Subclinical disseminated intravascular coagulation rapidly ensued and an induction of labor was performed. This was productive of a 110-g female fetus with a markedly distended abdomen and syndactyly. The placenta weighted 650 g with gross hydropic changes throughout. The clinical aspects of this case and review of the literature on partial molar pregnancies will be discussed.
Brittain
P C
PC
Department of Obstetrics and Gynecology, William Beaumont Army Medical Center, El Paso, TX 79920, USA.
Bayliss
P
P
D000328:Adult; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications / Q000175:diagnosis*; D006980:Hyperthyroidism / Q000209:etiology; D016104:Oligohydramnios / Q000175:diagnosis; D011225:Pre-Eclampsia / Q000150:complications / Q000175:diagnosis*; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis*