Mola hidatiforme completa e eclampsia: relato de caso

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.