Stormy Encounter with Partial Hydatidiform Mole

Authors

  • Shadrina Tahil-Sarapuddin Zamboanga City Medical Center
  • Neilyn Dionio Department of Obstetrics and Gynecology, Zamboanga City Medical Center
  • Jerome Barrera Department of Internal Medicine, Zamboanga City Medical Center

Abstract

We report a case of a 40-year-old multiparous woman who underwent total abdominal hysterectomy due to massive vaginal bleeding from partial molar pregnancy. Post-operatively, she developed high-grade fever, profuse sweating and shortness of breath. Examination revealed tachycardia, hypertension, elevated jugular venous pressure, crackles on both lower lung fields, with no palpable thyroid mass. Free thyroxine (FT4) and human chorionic gonadotropin β-subunit (β-hCG) were markedly elevated, while thyroid stimulating hormone (TSH) was significantly suppressed. With a Burch and Wartofsky score of 55, thyroid storm from the molar pregnancy was considered. She was given propylthiouracil (PTU), propranolol and hydrocortisone. Resolution of her signs and symptoms were noted 2 to 3 days following treatment.

 

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Author Biography

Shadrina Tahil-Sarapuddin, Zamboanga City Medical Center

Chief Resident

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Published

2015-07-31

How to Cite

Tahil-Sarapuddin, S., Dionio, N., & Barrera, J. (2015). Stormy Encounter with Partial Hydatidiform Mole. Journal of the ASEAN Federation of Endocrine Societies, 30(1), 31. Retrieved from https://www.asean-endocrinejournal.org/index.php/JAFES/article/view/147

Issue

Vol. 30 No. 1 (2015): May Issue

Section

Case Reports

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