Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Obstetrics and Gynecology
Volume 2016, Article ID 6075049, 4 pages
http://dx.doi.org/10.1155/2016/6075049
Case Report

Incidental Finding of Persistent Hydatidiform Mole in an Adolescent on Depo-Provera

1Department of Obstetrics and Gynecology, University of Tennessee College of Medicine, Chattanooga, TN, USA
2University of Tennessee Health Science Center, Memphis, TN, USA

Received 30 August 2016; Accepted 7 December 2016

Academic Editor: John P. Geisler

Copyright © 2016 Olukayode Akinlaja et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Molar pregnancies represent an uncommon yet important obstetric problem with potentially fatal outcomes. Patients typically present with signs and symptoms of early pregnancy, and physicians most often suspect nonmolar pregnancy complications initially; however a hydatidiform mole should be included in the differential diagnosis of a woman with a positive pregnancy test and abnormal vaginal bleeding irrespective of the use of contraception. Our case is that of an adolescent female on Depo-Provera injectable contraceptive with increased vaginal bleeding, abdominal pain, nausea, and vomiting who was incidentally found to be pregnant and subsequently diagnosed with a molar pregnancy despite persistent denial of having initiated sexual intercourse. Though gestational trophoblastic disease is uncommon with an incidence of about 1-2 cases per 1,000 pregnancies, a clinician has to display a high index of suspicion when dealing with patients at extremes of age in order to avoid potentially life-threatening outcomes.