Hydati-form Mole with Hyperthyroidism

Hydatiform pregnancy occurs in 1:1000 pregnancies worldwide. Incidence is higher in Asian countries. Prevalence of hyperthyroidism during complete molar pregnancy is as high as 7%. Trophoblastic hyperthyroidism poses a multitude of challenges to the anesthesiologist. High output cardiac failure secondary to thyrotoxicosis, thyroid storm, hypertension thyroid function test should be mandatory in all women with hydatiform mole and these women should be stabilised with beta blockers and anti-thyroid medication prior to induction of anaesthesia for their surgical evacuation.