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All Journal Majalah Kesehatan FKUB Bina Teknika Kumawula: Jurnal Pengabdian Kepada Masyarakat Medika Kartika : Jurnal Kedokteran dan Kesehatan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Andalas obstetrics and gynecology journal Jurnal Kesehatan Pasak Bumi Kalimantan International Journal of Multidisciplinary: Applied Business and Education Research Journal of Community Engagement Research for Sustainability Jurnal Pengabdian Kepada Masyarakat Mulawarman Indonesian Journal of Cancer Greenation International Journal of Engineering Science Greenation International Journal of Engineering Science
Saputra, Rudi
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Journal : Andalas obstetrics and gynecology journal

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From Molar Pregnancy, Thyrotoxicosis, to Pulmonary Hypertension: A Case Report Saputra, Rudi; Azra, Dieni; Aswad, Fidya Mayastri; Nurtanio, Setyawan
Andalas Obstetrics And Gynecology Journal Vol. 8 No. 1 (2024)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.8.1.661-666.2024

Abstract

Background: Molar pregnancy is a benign condition with the dominant symptom being dark brown to bright red bleeding from the vagina. This disease can induce hyperthyroidism and result in pulmonary hypertension. This case report describes a patient who had molar pregnancy with thyrotoxicosis and pulmonary hypertension.Case: A 30-year-old woman presented with complaints of lower abdominal pain for the last month. The patient feels that her stomach has enlarged in the last 3 months. Other complaints include bleeding and observed bubbles from the birth canal, shortness of breath, and chest pain. The serum cobas β-hCG level of 7954.00 mIU/mL. On abdominal ultrasound examination, vesicles formed a honeycomb appearance, measuring 7.4 cm×5.3 cm. Hematologic laboratory tests revealed low TSH levels (<0.01 μIU/mL), T3 levels of 2.35 ng/ml, and FT4 levels of 2.62 ng/dL. The results of the echocardiography examination showed there is a high probability of pulmonary hypertension.Conclusion: Molar pregnancy can exacerbate thyrotoxicosis through hCG activity. Smoking and breastfeeding also have similar effects. Consequently, increased thyroid hormone levels can worsen or cause pulmonary hypertension.
Co-Authors Abid Alfarizi, Muhammad Adam, Muhammad Fadlan Afifi, Azza Ayu Aminuddin, Muhammmad Andriansyah Andriansyah Annisa Muhyi Aslamiah Aslamiah Aswad, Fidya Mayastri Ayu Septiani, Ayu Azra, Dieni Bakhtiar, Rahmat Dahnilsyah, Dahnilsyah Endang Sawitri Evi Fitriany Fadilah, Syaiful Fikriah, Ika Guisandro, Johannes Hariyanto, Agustinus Darmadi Idris, Fagil Rananda Isjoni, Muhammad Yogi Ryantama Iskandar Muda Jesi Alexander Alim Joleha, Joleha Krispinus Duma Lubis, Nadhira Fahrani Mahmud Alpusari Maina, Annin Dya Meiliati Aminyoto muhammad dardi Nanda, A. Luthfiah Nandita, Meylaliazka Rahma Nataniel Tandirogang Neni Hermita Ningrum, Yuliana Kartika Noprianto, Dwi Nurkhalisa, Nina Nurtanio, Setyawan Nuryanto, Muhammad Khairul Pratiwi, Novita Eka Tyas Pualillin, Elvis Deddy Kurniawan Putri, Dwika Hanifah Putri, Nabiela Annisa Qahfi, Muhammad Andan Rachman, Syarifah Awwaliyyah Raharjo, Eko Nugroho Rasendriya , Fauzan Firjatullah Ronny Isnuwardana Rukaniya, Nurzilawati Ruslim, Samuel Kelvin Salsabila, Naila Cantika Sanjaya, Regina Anastasia Setyorini, Yulita Pundewi Sihombing, Syeba Sekarini Siti Khairiah, Siti Siti Khotimah Subagio, Kiki Jayapratama Sudarso, Sulistiawati Sunaryo, Muhammad Fitrah Ulyah, Rochimah Thul Waruwu, Riama Widjayanto, Arie Yadi Yasir Yudanti Riastiti Zetra Hainul Putra