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Obstetrics » Obstetrics 1st Trimester
Molar pregnancy at 6 weeks
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Presentation A 22 year old woman presents to the ER with a history of nausea and amenorrhea for six weeks. Her quantitative beta HCG was 104,000 mIU. She was referred for a pelvic ultrasound.
 
 
 
Caption: Transvaginal longitudinal view of the uterus
Description: Transvaginal longitudinal sonogram of the uterus demonstrates a large hyperechoic mass with the classic snow storm appearance.
 
 
 
Caption: Transvaginal power Doppler scan
Description: The corresponding power Doppler demonstrates markedly increased peripheral vascularity.
 
Differential Diagnosis Molar pregnancy
 
Final Diagnosis Molar pregnancy
 
Discussion This case illustrates the classic appearance of molar gestation. A discussion on molar gestation is available in an earlier published case [click here to view]
 
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