Complete hydatidiform mole with a coexistent live fetus in a twin pregnancy
Journal Title: Journal of Medical and Scientific Research - Year 2018, Vol 6, Issue 1
Abstract
Background: The reported incidence of hydatidiform mole with coexisting pregnancy is one in 22 000–100 000 pregnancies, most of them being complete hydatidiform moles (CHM) with a fetus; however, the reported prevalence, for a partial mole with a coexisting fetus is 0.005–0.01% of pregnancies. Case report: This is a case report of a hydatidiform mole with a coexistent live fetus diagnosed at 18 weeks. After thorough counselling, the pregnancy was continued as per the patient’s desire. The pregnancy was closely monitored with serial Serum β hCG, and ultrasound for fetal growth. An emergency caesarean delivery was done at 30 weeks, due to bleeding per vaginam. A live baby was delivered with near normal Apgar score. The placenta with molar tissue was sent for histopathological examination. The histopathology revealed a complete mole with normal placenta. Her serum β hCG reached normal levels after delivery, and she is now on surveillance. Though the general trend is to terminate pregnancy in twins with coexistent mole in anticipation of complications, under close surveillance, optimal outcomes can be achieved. Conclusion: The option of continuing a twin pregnancy with a complete mole is acceptable. However a close surveillance is required to detect potential early signs of complications. Histopathological examination is essential in distinguishing between partial and complete mole and/or with ancillary studies.
Authors and Affiliations
Kashif M Mohiuddin, Chinmayee Ratha, Satish Rao I
Keywords
Related Articles
- EP ID EP593033
- DOI 10.17727/JMSR.2017/5-21
- Views 79
- Downloads 0
Imaging of cystic lesions of the jaws - Pictorial essay
Imaging of the cystic lesions of the jaws has progressed from plain radiography, orthopantomography to cone beam computed tomography. These advanced methods contribute to the diagnosis of the cystic lesions of the jaws c...
Association of CTLA-4 A/G polymorphism with occurrence of ocular squamous cell carcinoma
Introduction: The association of polymorphisms of genes controlling the immune regulation with development of cancers and autoimmune diseases, has been a heavily researched area with the hope of probable discovery of a b...
Ectodermal dysplasia and partial anodontia: A case report
Ectodermal dysplasia is a hereditary disorder that occurs as a consequence of disturbances in the ectoderm of the developing embryo. It is usually accompanied by lack of sweat glands and a partial or complete absence of...
Glomus tumor of forearm- A rare presentation
Glomus tumor is a rare benign tumor commonly involving fingers and toes. While it has also been reported to have occurred elsewhere, there are only a handful reported cases. Diagnosis may be uncertain due to non-specific...
Multiple cerebral aneurysms in lupus
Systemic lupus erythematosus (SLE) is an autoimmune chronic multisystemic inflammatory disease of unknown etiology. It has variable course and prognosis. Its clinical manifestations may be constitutional or specific to o...