Mrs ANF, a 35 year old lay in her fifth pregnancy, presented with headache, nausea and vomiting and her period delayed 1 week. Pregnancy was suspected and she had come for a confirmatory ultrasound scan. There was no bleeding and she was otherwise well. Nothing unremarkable was found on physical examination. However, ultrasound scan showed a mass in the uterus which contained multiple small cystic structures, as seen here.
This was characteristic of molar pregnancy. She underwent suction curettage the next day and a large amount of tissue was removed.
This was confirmed as hydatidiform mole. She is now being monitored for recurrence and counselled to practice contraception for at least the next 6 months.
Hydatidiform mole or molar pregnancy is a rare growth that can occur when a woman gets pregnant. In most instances there is no fetus but occasionally a mole can occur together. Apart from being considered a miscarriage and cause bleeding, a molar pregnancy has the potential to spread out of the uterus and even turn cancerous. Thus steps must be taken to evacuate it completely and prevent progression to cancer.