%0 Journal Article
%T Mola hidatiforme completa e eclampsia: relato de caso
%A Maest¨¢
%A Izildinha
%A Pera£¿oli
%A Jos¨¦ Carlos
%A Passos
%A Jos¨¦ Raimundo
%A Borges
%A Vera Therezinha Medeiros
%A Pedrazzani
%A Carolina Diaz
%A Rudge
%A Marilza Vieira Cunha
%J Revista Brasileira de Ginecologia e Obstetr¨ªcia
%D 2003
%I Federa??o Brasileira das Sociedades de Ginecologia e Obstetr¨ªcia
%R 10.1590/S0100-72032003000600010
%X development of preeclampsia/eclampsia prior to 20 weeks of pregnancy should raise the suspicion of hydatidiform mole. we report a case of complete hydatidiform mole (chm) concurrent with eclampsia in a 20-year-old patient with vaginal bleeding, anemia, large uterine size, and ovary cysts associated with hypertension and proteinuria. plasmatic b-hcg levels were high and there was abnormal thyroid function. the ultrasonographic findings were compatible with chm. after uterine evacuation, the patient had headache and visual alterations, followed by tonic-clonic seizures, which ceased with the administration of 50% magnesium sulfate. at post-molar follow-up, a gestational trophoblastic tumor (gtt) was diagnosed and promptly treated with chemotherapy. association between chm and eclampsia requires immediate uterine evacuation and strict post-molar follow-up, due to increased risk of gtt development.
%K complete hydatidiform mole
%K eclampsia
%K gestational trophoblastic tumor.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0100-72032003000600010&lng=en&nrm=iso&tlng=en