2022 Volume 58 Issue 1 Pages 163-168
We present a case of 37-year-old Japanese pregnant woman referred to our hospital with rapid increase of systemic edema. Transabdominal ultrasonography revealed complete hydatidiform mole with coexistent fetus（CHMCF）. Evacuation and curettage were performed at 11+0 weeks’ gestation because of developing hypertension and proteinuria, and thereafter, pulmonary congestion and bilateral pleural effusion with continuous oxygen desaturation was emerged. She responded well to treatments. After that, persistent gestational trophoblastic neoplasia was developed and she needed multiple regimens of chemotherapy. Even if termination of pregnancy was selected in CHMCF due to clinical sign as PE, close monitoring vital sign and physical findings of pregnant women for hemodynamic change before and after abortion is mandatory.
