A 31-year-old female presents at 9th weeks of gestation. She gives history ofon and off vaginal bleeding since 2 weeks and hyperemesis of gravidarum. On exam the uterus is larger than expected for gestational age. USG shows a snowstorm appearance of the uterus with absence of a fetus. What is your diagnosis?
B. Twin Pregnancy
C. Large fibroid with Red degeneration
D. Hydatidiform mole
What is the indication of Transvaginal ultrasound in this case of Hydatidiform mole ?
β-hCG > 100,000 mIU/mL
What is the findings of Transvaginal ultrasound in Hydatidiform mole ?
- central heterogeneous mass with numerous discrete anechoic spaces
- “cluster of grapes,”
- “honeycomb” appearance
What is the findings of partial mole?
- Fetal parts and amniotic fluid
- Abnormally wide gestational sac
- Abnormal-looking placenta
Which findings suggests complete mole is more likely than partial mole?
Ovarian theca-lutein cysts – more likely in complete mole
↑ β-hCG (> 100,000 mIU/mL) suggests – complete mole > partial mole