Case 1:

• 45 years old female

• Presented with intermittent abdominal pain – 3 days

• Reduced urine output

• Exam: Abdomen tender and distended

• Hb: 7.1 g/dL

• B-hCG: 922,000 mIU/mL

• Chest xray: Patchy consolidation of both lungs

• CT scan: Pelvic mass of likely uterine origin

• History of 2 miscarriages in 1994 and 1995

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• Digital Slide: Case 1

 

 

Case 2:

• 35 years old female

• G3P2

• 24 weeks of gestation

• Ultrasound found empty sac

• B-hCG: 2078 mIU/mL

• During evacuation found vesicles

• Previous pregnancies were uneventful

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• Digital Slide: Case 2

 

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Case 3:

• 36 years old female

• G5P3+1

• 15 weeks of gestation

• Ultrasound: Snowstorm appearance

• B-hCG: 400,000 mIU/mL

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• Digital Slide: Case 3

 

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Case 4:

• 25 years old female

• G1P0

• 8 weeks of gestation

• Presented with vaginal bleeding

• B-hCG: 185,000

• Ultrasound: Snowstorm appearance with no viable fetus

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• Digital Slide: Case 4

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Case 5:

• 38 years old

• G6P4+1

• 18 weeks of gestation

• Β-hCG: 34,000 mIU/mL

• Gross: A few grape-like vesicles are seen

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• Digital Slide: Case 5

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