Perioperative Management of Patient with Hydatidiform Mole and Hyperthyroidism: A Case Report

Abstract

One of the secondary causes of hyperthyroidism is a molar pregnancy. We reported the case of a 36-year-old woman who was suspected of pregnancy two months ago accompanied by vaginal bleeding. She was diagnosed with suspected thyrotoxicosis without signs of thyroid crisis associated with hydatidiform mole. The diagnosis is made based on history, physical examination, laboratory examination, and radiological examination. Physical examination revealed a resting tremor. Laboratory tests showed elevated levels of beta-human chorionic gonadotropin (β-hCG) and free thyroxine (FT4), as well as low thyroid-stimulating hormone (TSH). She was given anti-thyroid medication starting from the time she was diagnosed with hyperthyroidism and suction curettage to evacuate the mole. Perioperative management of hyperthyroidism focuses on controlling sympathetic activity. Thyroid function improved after the evacuation and no signs of malignancy on anatomical pathology examination. The prognosis is dubious ad Bonam.

Keywords: Hyperthyroidism, hydatidiform mole, perioperative management