Molar pregnancy in the emergency department.

The western journal of emergency medicine

PubMedID: 20046254

Masterson L, Chan SB, Bluhm B. Molar pregnancy in the emergency department. West J Emerg Med. 2009;10(4):295-6.
A 15-year-old female presented to the emergency department with complaints of vaginal bleeding. She was pale, anxious, cool and clammy with tachycardic, thready peripheral pulses and hemoglobin of 2. 4g/dL. Her abdomen was gravid appearing, approximately early to mid-second trimester in size. Pelvic examination revealed 2 cm open cervical os with spontaneous discharge of blood, clots and a copious amount of champagne-colored grapelike spongy material. After 2L boluses of normal saline and two units of crossmatched blood, patient was transported to the operating room. Surgical pathology confirmed a complete hydatidiform mole.