Gestational trophoblastic disease with multisistemic complications
1General Hospital Gradiška, Gradiška
2Clinic of Obstetrics and Gynecology, University Hospital, Clinical Centre, Banjaluka
3Clinic of Paediatrics, University Hospital, Clinical Center, Banjaluka
4Clinic of Internal medicine, University Hospital, Clinical Centre, Banjaluka, Bosnia and Herzegovina
DOI: 10.22514/SV101.062015.24 Vol.10,Issue S1,June 2015 pp.79-80
Published: 22 June 2015
Gestational trophoblastic disease (GTD) is a condition of uncertain etiology, com-prised of a hydatidiform mole (complete and partial), invasive mole, choriocarcino-ma, epithelioid trophoblastic tumour and placental site trophoblastic tumour.
A partial hydatidiform mole develops when dispermy occurs, and the resulting conceptus is triploidy.
A 26-year-old woman (Gravida 2, Para 1, with one previous vaginal delivery of a normal female infant) was 16 weeks preg-nant and was scheduled for emergency surgical treatment. She was diagnosed with a hydatidiform mole and eclampsia in our hospital for further treatment.
Her pre-treatment beta human chorionic gonadotropin (β-HCG) level was extreme-ly high at 1,082,900 mIU/ml. The obste-tricians considered septic complications from the hydatidiform mole and we decid-ed to perform an emergency Sectio parva. Two weeks after delivery, the serum β-hCG level was 16,341 mlU/mL and normalized gradually within two months without any cytotoxic therapy.
Partial mole hydatidosa (PMH), as a milder form of GTD, can go along with malignant complications with fatal consequences.
gestational trophoblastic disease, eclampsia, chorionic gonadotropin beta sub-unit
DEJAN PEJIĆ,SAŠA SAVIĆ,MIROSLAV POPOVIĆ,ARNELA CERIĆ BANIČEVIĆ,BARBARA STANIMIROVIĆ,JELENA MRĐA. Gestational trophoblastic disease with multisistemic complications. Signa Vitae. 2015. 10(S1);79-80.
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