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 double-length 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.
Key words: Mola, pregnancy, preeclampsia, arterial
hypertension.