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A 34-Week Size Uterus with a Complete Hydatidiform Mole: Hook Effect and Severe Anemia with No Vaginal Bleeding
Joint Authors
McLaren, Rodney
Bayya, Vijaya
Irani, Mohamad
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Complete hydatidiform mole is an abnormal pregnancy that usually presents with vaginal bleeding and markedly elevated serum ß-hCG levels.
We report a rare case of complete hydatidiform mole occurring in a 16-year-old nulligravid who presented with a 34-week size uterus and a relatively low serum ß-hCG level (722 IU/L)—likely related to the “hook effect”—and severe anemia (hemoglobin: 6.1 g/dL) despite the absence of vaginal bleeding.
She also reported right flank pain and was diagnosed with moderate right hydronephrosis owing to the compression exerted by the enlarged uterus on the right ureter.
The patient received a total of 6 units of packed red blood cells and was managed by dilation and evacuation followed by serial monitoring of serum ß-hCG levels.
Therefore, complete mole can present with symptoms related to an enlarged uterus and severe anemia before the occurrence of vaginal bleeding.
It is also important to note that a negative urine pregnancy test or relatively low serum ß-hCG level should prompt repeating the measurement on diluted sample to prevent the “hook effect.”
American Psychological Association (APA)
McLaren, Rodney& Bayya, Vijaya& Irani, Mohamad. 2018. A 34-Week Size Uterus with a Complete Hydatidiform Mole: Hook Effect and Severe Anemia with No Vaginal Bleeding. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145954
Modern Language Association (MLA)
McLaren, Rodney…[et al.]. A 34-Week Size Uterus with a Complete Hydatidiform Mole: Hook Effect and Severe Anemia with No Vaginal Bleeding. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1145954
American Medical Association (AMA)
McLaren, Rodney& Bayya, Vijaya& Irani, Mohamad. A 34-Week Size Uterus with a Complete Hydatidiform Mole: Hook Effect and Severe Anemia with No Vaginal Bleeding. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145954
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145954