امرأة عمرها ٤٠ سنة حامل في الأسبوع ١٢ بعد علاج إخصاب، عندها نزيف مهبلي وقيء شديد. الرحم أكبر من عمر الحمل، وهرمون الحمل مرتفع جداً، والأشعة تظهر شكلاً كعنقود العنب بدون جنين. ما الأرجح؟

A 40-year-old at 12 weeks after fertility treatment has vaginal bleeding and severe vomiting. The uterus is large for dates, hCG is very high and ultrasound shows a grape-like pattern without a fetus. What is most likely?

1. A simple threatened miscarriage
2. Molar pregnancy
3. Ectopic pregnancy
4. A normal twin pregnancy

Answer: B) Molar pregnancy. Molar pregnancy: large-for-dates uterus, very high hCG, hyperemesis, bleeding and a grape-like appearance. The uterus is evacuated and hCG followed to exclude malignancy, deferring pregnancy.