Molar Pregnancy Presenting in the Emergency Department

Authors

Rohan Wanchu, HCA HealthcareFollow
Jonathan Rebik, HCA HealthcareFollow
Emily Maccauley, HCA HealthcareFollow
Samyr Elbadri, HCA HealthcareFollow
Leoh Leon II, HCA HealthcareFollow
Terrika Jones, HCA HealthcareFollow
Latha Ganti, HCA HealthcareFollow

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

4-5-2023

Keywords

molar pregnancy

Disciplines

Diagnosis | Emergency Medicine | Female Urogenital Diseases and Pregnancy Complications

Abstract

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.

Publisher or Conference

Radiology Case Reports

Recommended Citation

Wanchu R, Rebik J, Macauley E, et al. Molar pregnancy presenting in the emergency department. Radiol Case Rep. 2023;18(6):2063-2065. doi:10.1016/j.radcr.2023.02.032