Multidisciplinary management of atypical preeclampsia and hypovolemic shock associated with hydatidiform mole: a case report

Abstract

This study describes the case of a 34-year-old female patient with a history of chronic arterial hypertension who develops hypovolemic shock and atypical preeclampsia in the context of a hydatidiform mole. The aim is to describe the clinical approach and therapeutic strategies applied to manage hemodynamic instability and prevent potentially fatal complications. A descriptive design was employed, based on a detailed review of the medical history, data collection from laboratory tests, and evaluation of the surgical procedures performed. The results indicate that multidisciplinary intervention, supported by massive transfusions, strict blood pressure control, and urgent uterine curettage, is essential to reverse hypovolemic shock and preserve organ function. Additionally, the administration of magnesium sulfate to prevent convulsive crises and continuous monitoring of renal function are highlighted as contributing to the patient’s gradual recovery. Despite the severity of the condition, the evolution is favorable, with progressive stabilization of hemodynamic parameters and improvement in renal indicators. In conclusion, the association of atypical preeclampsia with hydatidiform mole represents a clinical challenge that requires early diagnosis and timely treatment due to the risk of complications such as obstetric hemorrhage and hypovolemic shock. Moreover, the importance of prolonged follow-up is emphasized to detect potential sequelae, including gestational trophoblastic neoplasia, and to ensure the best possible quality of life for the patient.