A 48-year-old pregnant woman approached the OBGYN clinic. The woman, gravida 6 para 3, was at 11 weeks gestation and suspected for a molar pregnancy. Case Presentation At presentation, the patient complained of a 3-day history of headache, right-sided abdominal pain, epistaxis, vaginal bleeding, nausea and vomiting. She was noted to be anxious and mildly diaphoretic.
Investigations- Serum β-HCG (8days ago)- 954,143 mIU/L. Pelvic USG (performed 3 days ago)- 11 cm complex cystic structure and solid endometrial structure. (Image provided). BP- 177/79 mmHg Laboratory investigations - Serum β-HCG - 1,771,640 mIU/L Urine protein - 30 mg/dL (neg) Alanine transaminase (ALT) - 116 (4–36) Iu/L Aspartate transaminase (AST) - 80 (8–33) Iu/L Thyroid stimulating hormone (TSH) - 0.07 (0.34–5.6) u[Iu]/mL T4 - 25 (6.0–12.0) ug/L T3 - 291 (87–188) ng/mL Free T4 - 4.09 (0.82–1.77) ng/dL Free T3 - 9.7…
