Twin Pregnancy with a Complete Hydatidiform Mole and a Coexisting Live Fetus Rare entity
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 4
Abstract
A hydatidiform mole with a coexisting live fetus is a rare occurrence and the optimal management for this condition is not yet known. We report the case of a 32-year-old woman (gravida 3, para 2) who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in March 2012 at 13 gestational weeks with abdominal pain and vaginal bleeding. An ultrasound examination revealed a hydatidiform mole pregnancy coexisting with a live fetus. After extensive counselling, the patient and her husband opted for a conservative management approach. Unfortunately, a hysterotomy had to be performed at 17 gestational weeks due to severe haemorrhage. Te postoperative period was uneventful and histopathology results confrmed one complete mole with a coexisting fetus and normal placenta. Te patient’s serum β-human chorionic gonadotropin level remained normal for 18 months following her surgery.
Authors and Affiliations
Shahila Sheik| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman, Nihal Al-Riyami| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman, Namitha R. Mathew| Department of Obstetrics & Gynaecology, Kasturba Medical College, Manipal, India, Rashid Al-Sukaiti| Departments of Radiology & Molecular Imaging, Sultan Qaboos University Hospital, Muscat, Oman, Asim Qureshi| Departments of Pathology, Sultan Qaboos University Hospital, Muscat, Oman, Mariam Mathew| Departments of Obstetrics & Gynaecology,Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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