Anesthesia Management of Gestational Trophoblastic Disease With Massive Hemorrhage: A Case Report

This case describes a 40-year-old woman with gestational trophoblastic disease (GTD) who presented with vaginal bleeding, iron deficiency anemia, and a markedly elevated beta-human chorionic gonadotropin (β-hCG) of 1,889,800 mIU/mL. Transabdominal ultrasound revealed retained products of conception and GTD. The patient had experienced a failed pregnancy two months prior to presentation. She required a massive transfusion (five units of packed red blood cells) and underwent dilation and curettage under general anesthesia with rapid sequence intubation. This case examines the anesthetic considerations and perioperative complications associated with this high-risk case.