A case report of atypical preeclampsia with severity criteria for hydatidiform complete mole

Abundant trophoblastic tissues in grape racemes and histologic view showing degradation of the trophoblastic tissue, dilatated cisterns, trophoblastic inclusions, corial villi, and decidual reaction, with the absence of embryonic tissue, typical of the complete moles. Key Clinical MassagePreeclampsia is defined as elevation of blood pressure and any of the following severity criteria: proteinuria, thrombocytopenia, elevation of creatinine in the absence of another renal pathology, elevation of transaminases, pulmonary edema, or neurological symptoms. However, after 20  weeks of gestation in a previously normotensive patient, cases of preeclampsia associated with molar pregnancy have been described in patients at less than 20 weeks of gestation. A 26-year-old woman, at 14.1 weeks of gestation was admitted to the lower extremities with facial edema, holocrani al headache, nausea, epigastralgia, phosphenes, and photophobia, with a double-length uterine fundus for gestational age and ultrasonography. Obstetricians who showed images of snowflakes without fetuses and annexes had multiple thecal-lutein cysts. Atypical preeclampsia was identified using the sev erity data for complete hydatidiform moles. Given the possibility of serious complications that may endanger the life of the maternal–fetal binomial, atypical forms of preeclampsia should be suspected.
Source: Clinical Case Reports - Category: General Medicine Authors: Tags: CASE REPORT Source Type: research