Radiology Case Reports (Jun 2023)

Molar pregnancy presenting in the emergency department

  • Rohan Wanchu, MD,
  • Jonathan Rebik, MD,
  • Emily Macauley, MD,
  • Samyr Elbadri, MD,
  • Leoh Leon, MD,
  • Terrika Jones, MD,
  • Latha Ganti, MD

Journal volume & issue
Vol. 18, no. 6
pp. 2063 – 2065

Abstract

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A 27-year-old female grava1 para 0 presented to the emergency department with complaints of intractable nausea and vomiting associated with fatigue and shortness of breath for the past 2 weeks with concerns for pregnancy. Physical exam was benign. Labs were significant for a β-hcg level of 348,260 mIU/mL. Ultrasonography showed a 12.4 pelvic mass possibly arriving from the anterior uterus concerning for fibroid. US also showed an anechoic focus suggestive of a gestational sac measuring 2.09 cm. The presentation was concerning for hyperemesis gravidarum due to molar pregnancy.

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