The hyper echoic ovoid mass: a predictor of vesicular mole as early as 6^th week of gestation

The introduction of high resolution Tran's vaginal ultrasound in routine obstetric practice has revolutionized diagnosis of early pregnancy and related clinical entities such as vesicular mole. The diagnostic accuracy is improved further by Doppler evaluation. At present vesicular mole is diagnosed at 8–9 weeks of gestation much earlier than clinical detection; usually beyond 14 -16 weeks of gestation. Here a rare but unique ultrasound finding that can predict the later development of vesicular mole; called hyperechoic ovoid mass has been described. It can appear at 6 weeks of gestation. This can later develop to a vesicular mole that can be diagnosed at 8 -9 weeks of pregnancy by ultrasound.