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The current clinical presentation of complete molar pregnancy
1Department of Obstetrics and Gynecology, Barzilai Medical Center, Ashkelon, Israel.
Objective:
To study the current clinical presentation of complete molar pregnancy.
Method:
Retrospective study of the clinical and ultrasonographic records of 41 patients with complete hydatidiform mole.
Results:
17 (41%) patients were asymptomatic. 24 patients (58%) presented with vaginal bleeding, 6 (15%) had excessive uterine size, 1 (2%) had anemia and 1 (2%) had hyperemesis. Non of the patients had any other systemic manifestation. Pre-evacuation ultrasound was performed in all cases and molar pregnancy was diagnosed in 36 (88%).
Conclusions:
Currently with routine first trimester ultrasonography a significant proportion of patients with molar pregnancy are asymptomatic at the time of diagnosis.