We present a case of a 46-year-old female diagnosed with preeclampsia as the presenting symptom of a molar pregnancy. Molar pregnancies are uncommon occurrences, and with new technological advances, are often diagnosed by ultrasound before women experience morbidity or mortality. In this case, the patient presented with a positive pregnancy test, elevated blood pressure, and laboratory abnormalities. Here, we report our approach to diagnosis, surgical management, post-operative care, and outpatient follow-up, and also discuss the differential diagnosis of elevated blood pressure in pregnancy.
Otto et al. (2026) studied this question.