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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2012, Number 12

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Ginecol Obstet Mex 2012; 80 (12)

Partial mole and atypical preeclampsia: a case report and review of the literature

Barrón RJL, Piña SF, Clorio CJ, Fraire GFJ, Soto ROA
Full text How to cite this article

Language: Spanish
References: 10
Page: 783-787
PDF size: 234.82 Kb.


Key words:

Atypical preeclampsia, Differential diagnosis, Molar pregnancy, Partial mole, Preeclampsia.

ABSTRACT

We report the case of 23 years old primingesta patient with a partial molar pregnancy 16 weeks, studying with atypical presentation of preeclampsia ( high blood pressure 160/100 mmHg, proteinuria of 3.4 g in 24 hours, headache, photophobia and anasarca), so differential diagnoses ruled out (lupus nephritis, hemolytic uremic syndrome, antiphospholipid antibody syndrome, thrombotic thrombocytopenic purpura, nephrotic syndrome). Disengage vaginally were required by the presence of deterioration of maternal health with systemic repercussions. We observed marked improvement in health status after disengage.


REFERENCES

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  2. Smith HO, Kohorn E, Cole LA. Choriocarcinoma and Gestational Trophoblastic Disease. Obstet Gynecol Clin N Am 2005;32:661-684.

  3. Morales-García V y col. Embarazo molar parcial: reporte de un caso y revisión de la bibliografía. Ginecol Obstet Mex 2011;79(7):432-435.

  4. Romero-Gutierrez G y col. Embarazo molar no sospechado en abortos del primer trimestre. Ginecol Obstet Mex 2003;71:55- 59.

  5. Sibai BM, Stella CL. Diagnosis and management of atypical preeclampsia-eclampsia. Am J Obstet Gynecol 2009;200:481e1 - 481e7.

  6. Soper JT, et al. Diagnosis and treatment of gestational trophoblastic disease: ACOG Practice Bulletin No.53. Gynecologic Oncology 2004;93:575-585.

  7. Osborne R, Dodge J. Gestational Trophoblastic Neoplasia. Obstet Gynecol Clin N Am 2012; 39:195-212.

  8. Garavaglia E, et al. Ultrasound imaging alters evacuation as an adjunt to β- hCG monitoring in post hydatiform molar gestational trophoblastic neoplasia. Am J Obstet Gynecol 2009;200: 417.e1 - 417.e5.

  9. Stany MP, Hamilton CA. Trastornos ováricos benignos. Obstet Gynecol Clin N Am 2008;35: 271-284.

  10. Sibai BM. Imitators of Severe Pre-eclampsia. Semin Perinatol 2009;33(3):196-205.




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C?MO CITAR (Vancouver)

Ginecol Obstet Mex. 2012;80