- Email: [email protected]
Diagnosis of a partial molar pregnancy using bedside sonography in the Emergency Department
Visual Journal of Emergency Medicine 6 (2017) 61
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual case discussion
Diagnosis of a partial molar pregnancy using bedside sonography in the Emergency Department
MARK
⁎
Suzanne N. Bialeck , Lawrence Haines1 Brookdale University Hospital, Emergency Medicine, 11201 Brooklyn, NY, United States
A R T I C L E I N F O Keywords: Ultrasound Molar pregnancy Emergency Department
A 20 year old female presented to the Emergency Department (ED) with the complaint of vaginal bleeding. The patient was in her tenth week of pregnancy, based on her last menstrual period. Physical exam was remarkable for a uterine fundus consistent with gestational age and dark blood in the vaginal vault. An Emergency Physicianperformed ultrasound was documented as an intrauterine pregnancy. The patient was discharged with the diagnosis of “threatened abortion.” Four weeks later, the patient was referred back to the ED because her Obstetrician (OB) “did not hear a fetal heart beat." The patient denied bleeding or pain since her last visit. An ED trans-abdominal ultrasound revealed the images displayed (Figs. 1 and 2, Video 1). Fetal parts were
Fig. 2. Transabdominal ultrasound reveraling the classic "snowstorm" appearance of hydropic villi of a molar pregnancy as well as fetal parts.
identified along with abundant hydropic villi, indicating a partial molar pregnancy. Prompt consultation with the on-call OB was obtained and the patient was scheduled for dilation and curettage. Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at doi:10.1016/j.visj.2016.06.003. Fig. 1. Transabdominal ultrasound reveraling the classic "snowstorm" appearance of hydropic villi of a molar pregnancy as well as fetal parts.
⁎
1
Corresponding author. E-mail address: [email protected] (S.N. Bialeck). Current location: Maimonides Medical Center, Emergency Medicine, 11219 Brooklyn, NY, United States.
http://dx.doi.org/10.1016/j.visj.2016.06.003 Received 29 March 2016; Received in revised form 23 May 2016; Accepted 6 June 2016 2405-4690/ © 2016 Elsevier Inc. All rights reserved.
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual case discussion
Diagnosis of a partial molar pregnancy using bedside sonography in the Emergency Department
MARK
⁎
Suzanne N. Bialeck , Lawrence Haines1 Brookdale University Hospital, Emergency Medicine, 11201 Brooklyn, NY, United States
A R T I C L E I N F O Keywords: Ultrasound Molar pregnancy Emergency Department
A 20 year old female presented to the Emergency Department (ED) with the complaint of vaginal bleeding. The patient was in her tenth week of pregnancy, based on her last menstrual period. Physical exam was remarkable for a uterine fundus consistent with gestational age and dark blood in the vaginal vault. An Emergency Physicianperformed ultrasound was documented as an intrauterine pregnancy. The patient was discharged with the diagnosis of “threatened abortion.” Four weeks later, the patient was referred back to the ED because her Obstetrician (OB) “did not hear a fetal heart beat." The patient denied bleeding or pain since her last visit. An ED trans-abdominal ultrasound revealed the images displayed (Figs. 1 and 2, Video 1). Fetal parts were
Fig. 2. Transabdominal ultrasound reveraling the classic "snowstorm" appearance of hydropic villi of a molar pregnancy as well as fetal parts.
identified along with abundant hydropic villi, indicating a partial molar pregnancy. Prompt consultation with the on-call OB was obtained and the patient was scheduled for dilation and curettage. Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at doi:10.1016/j.visj.2016.06.003. Fig. 1. Transabdominal ultrasound reveraling the classic "snowstorm" appearance of hydropic villi of a molar pregnancy as well as fetal parts.
⁎
1
Corresponding author. E-mail address: [email protected] (S.N. Bialeck). Current location: Maimonides Medical Center, Emergency Medicine, 11219 Brooklyn, NY, United States.
http://dx.doi.org/10.1016/j.visj.2016.06.003 Received 29 March 2016; Received in revised form 23 May 2016; Accepted 6 June 2016 2405-4690/ © 2016 Elsevier Inc. All rights reserved.