Abdominal Hysterectomy Under Thoracic Epidural Anesthesia for Complete Molar Pregnancy in a Patient With Atypical Preeclampsia and Hyperthyroidism in a Resource‐Limited Setting: Case Report and Literature Review

Background Hydatidiform mole is a rare gynecological disease arising from trophoblastic tissue. There is no standard anesthetic management for patients undergoing major abdominal surgery; the decision may be based on preoperative patient status, the presence of coexisting illnesses, the risk of aspiration, and the availability of advanced equipment. Case Presentation A 40‐year‐old female patient, Para 4, Gravida 5, with a BMI of 21.7 kg/m 2 , presented to the obstetrics and gynecology outpatient department with a complaint of vaginal bleeding lasting for 2 weeks. The bleeding varied in color from dark brown to bright red. She reported a history of nausea and vomiting, experiencing six episodes before her admission. Additionally, she experienced blurred vision, dizziness, an anterior neck mass, decreased appetite, and pelvic pain. She was subsequently diagnosed with complete molar pregnancy, hyperthyroidism, and atypical preeclampsia and underwent a total hysterectomy under thoracic epidural anesthesia. Conclusion Enhancing the perioperative outcome of patients undergoing major abdominal surgery requires a multidisciplinary strategy. Regional anesthesia in high‐risk patients is vital to decrease perioperative complications. We are confident that thoracic epidural anesthesia can be an effective alternative for major abdominal surgery in resource‐restricted settings, especially for patients at high risk of perioperative adverse events associated with general anesthesia. This case report suggests that thoracic epidural anesthesia can be used as another option for patients undergoing major abdominal surgeries.