Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm
Hypothyroidism is a common health issue worldwide with varying clinical manifestations. We report a woman who experienced an incomplete abortion and undiagnosed hypothyroidism who was referred to the oncologist with the suspicion of metastatic gestational trophoblastic neoplasm (GTN). A 29-year-old...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/3154267 |
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| author | Soheila Aminimoghaddam Narmin Karisani Maryam Mazloomi Maryam Rahimi |
| author_facet | Soheila Aminimoghaddam Narmin Karisani Maryam Mazloomi Maryam Rahimi |
| author_sort | Soheila Aminimoghaddam |
| collection | DOAJ |
| description | Hypothyroidism is a common health issue worldwide with varying clinical manifestations. We report a woman who experienced an incomplete abortion and undiagnosed hypothyroidism who was referred to the oncologist with the suspicion of metastatic gestational trophoblastic neoplasm (GTN). A 29-year-old woman with incomplete abortion was referred to an oncologist for possible GTN due to persistent active vaginal bleeding, an elevated beta human chorionic gonadotropin (hCG), abnormal cervical inspection exam, abnormal liver function tests, ovarian enlargement, ascites, and a pleural effusion. She was found to have hypothyroidism in further work-up. She was managed with thyroid hormone replacement therapy and her condition improved after 6 weeks. Complete resolution of the ovarian mass and pericardial and pleural effusion was achieved. This case describes an important experience; hypothyroidism should be considered in the differential diagnosis of any woman with an incomplete abortion presenting with an ovarian mass. Evaluation and correct diagnosis are important to prevent mismanagement. |
| format | Article |
| id | doaj-art-f8e5f28da73f49b4b91424311c85280a |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-f8e5f28da73f49b4b91424311c85280a2025-02-03T05:50:58ZengWileyCase Reports in Oncological Medicine2090-67062090-67142016-01-01201610.1155/2016/31542673154267Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic NeoplasmSoheila Aminimoghaddam0Narmin Karisani1Maryam Mazloomi2Maryam Rahimi3Department of Obstetrics & Gynecology, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, IranDepartment of Obstetrics & Gynecology, Shahid Akbar-Abadi Hospital, Iran University of Medical Sciences, Molavi Street, Tehran, IranDepartment of Obstetrics & Gynecology, School of Medicine, Shahid Akbar-Abadi Hospital, Iran University of Medical Sciences, Molavi Street, Tehran, IranDepartment of Obstetrics & Gynecology, School of Medicine, Shahid Akbar-Abadi Hospital, Iran University of Medical Sciences, Molavi Street, Tehran, IranHypothyroidism is a common health issue worldwide with varying clinical manifestations. We report a woman who experienced an incomplete abortion and undiagnosed hypothyroidism who was referred to the oncologist with the suspicion of metastatic gestational trophoblastic neoplasm (GTN). A 29-year-old woman with incomplete abortion was referred to an oncologist for possible GTN due to persistent active vaginal bleeding, an elevated beta human chorionic gonadotropin (hCG), abnormal cervical inspection exam, abnormal liver function tests, ovarian enlargement, ascites, and a pleural effusion. She was found to have hypothyroidism in further work-up. She was managed with thyroid hormone replacement therapy and her condition improved after 6 weeks. Complete resolution of the ovarian mass and pericardial and pleural effusion was achieved. This case describes an important experience; hypothyroidism should be considered in the differential diagnosis of any woman with an incomplete abortion presenting with an ovarian mass. Evaluation and correct diagnosis are important to prevent mismanagement.http://dx.doi.org/10.1155/2016/3154267 |
| spellingShingle | Soheila Aminimoghaddam Narmin Karisani Maryam Mazloomi Maryam Rahimi Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm Case Reports in Oncological Medicine |
| title | Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm |
| title_full | Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm |
| title_fullStr | Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm |
| title_full_unstemmed | Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm |
| title_short | Unusual Presentation of Hypothyroidism in a Pregnant Woman, Mimicking Gestational Trophoblastic Neoplasm |
| title_sort | unusual presentation of hypothyroidism in a pregnant woman mimicking gestational trophoblastic neoplasm |
| url | http://dx.doi.org/10.1155/2016/3154267 |
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