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Molar Pregnancy in the Emergency Department

  • Author(s): Masterson, Lori
  • Chan, Shu B.
  • Bluhm, Bryan
  • et al.
Abstract

A 15-year-old female presented to the emergency department with complaints of vaginal bleeding. She was pale, anxious, cool and clammy with tachycardic, thready peripheral pulses and hemoglobin of 2.4g/dL. Her abdomen was gravid appearing, approximately early to mid-second trimester in size. Pelvic examination revealed 2 cm open cervical os with spontaneous discharge of blood, clots and a copious amount of champagne-colored grapelike spongy material. After 2L boluses of normal saline and two units of crossmatched blood, patient was transported to the operating room. Surgical pathology confirmed a complete hydatidiform mole.

[West J Emerg Med. 2009;10(4):295-296.]

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