A Case report of atypical preeclampsia with severity criteria for hydatidiform complete mole.

Abstract

Background: Preeclampsia is defined as the elevation of blood pressure and any of the following severity criteria: proteinuria, thrombocytopenia, elevation of creatinine in the absence of another renal pathology, elevation of transaminases, pulmonary edema, or neurological symptoms. However, after 20 weeks of gestation in a previously normotensive patient, cases of preeclampsia associated with molar pregnancy have been described in patients with less than 20 weeks of gestation.Case description : A 26-year-old woman, at 14.1 weeks of gestation, was admitted to the lower extremities with facial edema, holocranial headache, nausea, epigastralgia, phosphenes, and photophobia, with a doublelength uterine fundus for gestational age and ultrasound. Obstetricians who showed images of snowflakes, without fetuses and annexes, with multiple thecal-lutein cysts. Atypical preeclampsia was identified using the severity data for complete hydatidiform mole. Conclusion.Given the possibility of serious complications that may endanger the life of the maternal-fetal binomial, atypical forms of preeclampsia should be suspected.