THE USE OF HYSTEROGRAPHY IN THE DETECTION OF HYDATIDIFORM MOLE

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Abstract
In the earlier periods of gestation, from approximately 12 to 14 weeks, the clinician is often faced with a diagnostic dilemma in the differential diagnosis of hydatidiform mole from incomplete or threatened abortion. Often at this stage of gestation the patient presents with vaginal bleeding but has not passed molar tissue and, on physical examination, the uterus may not be unduly enlarged. High urinary gonadotropin levels at this stage of gestation may be seen in normal pregnancy. The absence of roentgenographic visualization of a normal fetal skeleton is again within the range of normal at this early stage. We feel that the best approach in making this differential diagnosis is by use of transabdominal hysterography. This method is virtually diagnostic and without serious hazard.

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