What complications may result from hydatidiform mole

What complications may result from hydatidiform mole?

Complications of late hydatidiform mole include:

1. Heavy bleeding: If hydatidiform mole is not diagnosed and treated in time, there may be repeated bleeding, intrauterine blood accumulation, blood loss, or heavy bleeding during spontaneous expulsion. Hemorrhagic shock or even death may occur on the basis of anemia. Hydatidiform mole should be treated urgently, and a short-term delay may lead to more blood loss and harm to the patient.

2. Incompletely aborted hydatidiform mole: After spontaneous abortion or vacuum abortion, there may be residual vesicular fetal masses. Patients with hydatidiform mole who have spontaneous abortion not long before admission should undergo uterine curettage immediately if they can withstand it. For patients with long-term expulsion and infection, antibiotics should be used for a few days before uterine curettage.

3. Mole embolism: The vesicular fetal mass can be transferred or migrated with the blood to other parts of the body, most commonly the lungs and vagina, and can form a bleeding furnace locally. A small number of emboli or emboli that are not strictly examined may resolve on their own. Yu Peiliang and others reported that extensive lung metastasis of mole was caused by oxytocin induction of labor, pulmonary arteriolar contracture syndrome, and death from pulmonary edema and heart failure. Mole embolism is different from malignant tumor metastasis and can be suppressed by autoimmunity and disappear. Chemotherapy is still the best.

4. Malignant transformation: becoming invasive hydatidiform mole or choriocarcinoma. The malignant transformation rate is about 10% to 20%.

5. Ovarian luteinized cyst pedicle torsion: This often occurs after the expulsion of hydatidiform mole. When the pedicle is torsion, the twisted uterine appendages should be removed immediately.