Affiliation:
1. Intensive Care Unit General Hospital of San Juan del Río San Juan Del Rio Mexico
2. Obstetric Intensive care unit Maternal and children hospital of Durango Durango Mexico
3. Obstetric Intensive care unit Maternal Hospital of Celaya Celaya Mexico
4. Intensive care unit ISSSTEP Hospital Puebla Mexico
5. Gynaecology and obstetrics department General Hospital IMSS #16 Torreon Mexico
6. Cardiology department National Institute of Cardiology “Ignacio Chávez” Mexico City Mexico
7. Intensive care unit MAC Hospital Tampico Mexico
Abstract
Key Clinical MassagePreeclampsia is defined as elevation of blood pressure and any of the following severity criteria: proteinuria, thrombocytopenia, elevation of creatinine in the absence of another renal pathology, elevation of transaminases, pulmonary edema, or neurological symptoms. However, after 20 weeks of gestation in a previously normotensive patient, cases of preeclampsia associated with molar pregnancy have been described in patients at less than 20 weeks of gestation. A 26‐year‐old woman, at 14.1 weeks of gestation was admitted to the lower extremities with facial edema, holocranial headache, nausea, epigastralgia, phosphenes, and photophobia, with a double‐length uterine fundus for gestational age and ultrasonography. Obstetricians who showed images of snowflakes without fetuses and annexes had multiple thecal‐lutein cysts. Atypical preeclampsia was identified using the severity data for complete hydatidiform moles. Given the possibility of serious complications that may endanger the life of the maternal–fetal binomial, atypical forms of preeclampsia should be suspected.