Partial Hydatidiform Mole in a Medical Abortion with the Mifepristone/Misoprostol Combination

Pui Ki Chow, Szu Yuan Chou, Chih Fen Wu, So Jung Liang, Chuan Yaw Chang, Chun Sen Hsu, Shiu Feng Huang

Research output: Contribution to journalArticle

Abstract

Objective: Gestational trophoblastic disease after an early elective medical abortion with the mifepristone/ misoprostol combination (MMC) is rare. Case Report: We report a case of a young woman who was at 6-7 weeks of gestation who requested a medical abortion. The pretreatment ultrasonogram indicated a normal pregnancy. Passage of tissue ensued after the MMC, with good recovery. Postabortal ultrasonogram on day 14 showed the presence of intracavitary content. The patient declined our suggestion of serial ultrasonographic surveillance, and she was later lost to follow- up. Fifty days after the initial treatment, she again presented to our hospital with intermittent bleeding and an increase in the blood flow signal with a low resistance index in the uterus on color Doppler ultrasonography. After curettage, she was diagnosed as having a partial hydatidiform mole; she had complete regression of beta- human chorionic gonadotropin, monitored for 1 week after the evacuation. Conclusion: Obstetricians should be aware of the possibility of a partial hydatidiform mole after a medical abortion.

Original languageEnglish
Pages (from-to)232-234
Number of pages3
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume43
Issue number4
DOIs
Publication statusPublished - Dec 2004

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Keywords

  • mifepristone
  • misoprostol
  • partial mole
  • resistance index
  • ultrasonogram

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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