Molar pregnancy presenting in the emergency department

Rohan Wanchu; Jonathan Rebik; Emily Macauley; Samyr Elbadri; Leoh Leon; Terrika Jones; Latha Ganti

doi:10.1016/j.radcr.2023.02.032

Molar pregnancy presenting in the emergency department

Radiol Case Rep. 2023 Apr 5;18(6):2063-2065. doi: 10.1016/j.radcr.2023.02.032. eCollection 2023 Jun.

Authors

Rohan Wanchu¹, Jonathan Rebik¹, Emily Macauley¹, Samyr Elbadri^{1

2}, Leoh Leon¹, Terrika Jones², Latha Ganti^{1

2}

Affiliations

¹ University of Central Florida College of Medicine and HCA Florida Ocala Hospital, 6850 Lake Nona Blvd, Orlando, FL 32832, USA.
² Lakeland Regional Medical Center, Lakeland, FL, USA.

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.

Keywords: Molar pregnancy.

Publication types

Case Reports