Prabhu Indraneel K, Rosenbaum Amy
Obstetrics and Gynecology, Touro University Nevada College of Medicine, Las Vegas, USA.
Obstetrics and Gynecology, Women's Health Associates of Southern Nevada, Las Vegas, USA.
Cureus. 2020 Sep 8;12(9):e10319. doi: 10.7759/cureus.10319.
Molar pregnancy or a hydatidiform mole, also referred to as gestational trophoblastic disease, is an abnormal type of pregnancy, in which a potentially anomalous egg is abnormally fertilized resulting in a subsequently non-viable conceptus becoming an enlarged growth in the uterus with dangerous complications. These moles can occur as either complete or partial moles, each with its own unique features. In this article, we report a case of a pregnant woman who presented to her primary care doctor with the chief complaint of shortness of breath. Upon further questioning, she was found to have slight vaginal bleeding. Further workup of the unexplained bleeding revealed a small, yet concerning molar pregnancy, and led to our encounter with the patient on her operating day for a dilation and curettage. As these moles are somewhat rare occurrences, this case report aims to describe the condition, with a focus on management and outcomes.
葡萄胎，也称为妊娠滋养细胞疾病，是一种异常妊娠类型，其中一个潜在异常的卵子被异常受精，导致随后无法存活的胚胎在子宫内异常生长，并伴有危险的并发症。这些葡萄胎可分为完全性葡萄胎或部分性葡萄胎，每种都有其独特特征。在本文中，我们报告了一例孕妇，她因呼吸急促为主诉就诊于她的初级保健医生。进一步询问后，发现她有轻微阴道出血。对不明原因出血的进一步检查发现了一个虽小但令人担忧的葡萄胎，并导致我们在患者手术当天为其进行刮宫术时接触到该患者。由于这些葡萄胎较为罕见，本病例报告旨在描述这种情况，重点关注管理和结果。
