Abstract
Objective: To report a typical case of hydatidiform mole, its diagnosis, management and follow-up. Case details: A 21-year-old pregnant woman (9 weeks and 4 days), complaining of pain in her lower abdomen and transvaginal bleeding. In requested transvaginal ultrasound, she presented an endometrial cavity with hyperechoic, heterogeneous and amorphous material with multiple anechoic areas without doppler flow. Findings suggestive of hydatidiform mole. Hospitalization was instituted with a request for uterine curettage and rapid tests for Human Immunodeficiency Virus (HIV) and syphilis (both non-reactive). Complete blood count, abdominal ultrasound and chest radiography did not contain findings of clinical importance for the case. After uterine curettage and hospital discharge, the patient was referred for outpatient post-molar follow-up, where a contraceptive method and weekly serum b-hCG were prescribed, which was negative (result less than 5 mUI/ml) in the fifth week after the intervention. surgical. Final considerations: Health professionals should be aware of signs and symptoms suggestive of gestational trophoblastic disease, a condition with a relative incidence. In this context, an early and effective diagnosis and conduct are extremely important, since they can avoid the complications of the continuation of a molar pregnancy.