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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526


ARRIAGADA D, Rodrigo; NOVOA RA, Romina  y  URRUTIA S, Paulina. Mola hidatidiforme completa con preeclampsia e hipertiroidismo: presentación clásica. Rev. chil. obstet. ginecol. [online]. 2017, vol.82, n.1, pp.77-79. ISSN 0717-7526.

Background: Gestational trophoblastic disease is a spectrum of diseases of the placenta, existing some with potential for invasion and metastasis, among which include invasive mole, choriocarcinoma, tumors of the insertion site of the placenta and hydatidiform mole. The last one is divided into complete and partial mole, differing in histopathology, morphology, karyotype, and clinical malignant behavior, witch is the point we refer to in this case. Case report: 46 year old woman admitted for hemoptysis, metrorrhagia, dyspnea on slight exertion, orthopnea and paroxysmal nocturnal dyspnea associated with hypertension, tachycardia, firm and immovable hypogastric mass and limb edema. Abdominal ultrasound compatible with MH and high BhCG is performed. Evolve with hypertensive crisis, congestive heart failure and thyrotoxicosis. Labor starts driving out 665 grams of mole, after the curettage present hypovolemic shock and severe anemia requiring transfusions and vasoactive drugs. It gradually recovers further control the discharge of BhCG undetectable at 6 months. Discussion: It is currently infrequent classical clinical presentation of complete hydatidiform mole due to early diagnosis and management of pregnancy associated with the widespread use of ultrasound. However it is important to have a high degree of suspicion of this disease because of its serious consequences, and thus make a referral and early management.

Palabras clave : Complete hydatidiform mole; molar pregnancy/complications; preeclampsia; hyperthyoidism; pregnancy.

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