Complete hydatidiform mole in a perimenopausal woman with a subsequent severe thyriotoxicosis.
BACKGROUND
Gestational trophoblastic disease is one form of abnormal pregnancy, with a median maternal age of 27-28 years. One complication of trophoblastic disease is the development of a secondary hyperthyroidism, which resolves rapidly after evacuation of the hydatidiform mole.


METHODS
We report a case of a 53-year-old woman presenting with a complete hydatidiform mole and who developed a severe thyrotoxicosis after suction evacuation of the hydatidiform mole.


CONCLUSIONS
A severe thyriotoxicosis can occur even after surgical evacuation of the mole. Therefore, evaluation of the thyroid function prior to operation, especially with a high quantitative hCG, should be performed to avoid severe complications.
Struthmann
Lena
L
First Department of Obstetrics and Gynecology, Ludwig Maximilians University Munich, Maistrasse 11, 80337 Munich, Germany.
Günthner-Biller
Margit
M
Bergauer
Florian
F
Friese
Klaus
K
Mylonas
Ioannis
I
D013956:Antithyroid Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D011247:Pregnancy; D011441:Propylthiouracil / Q000627:therapeutic use; D013971:Thyrotoxicosis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D014463:Ultrasonography; D014619:Vacuum Curettage
D013956:Antithyroid Agents; D011441:Propylthiouracil; D008727:Methotrexate