A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
نویسندگان
چکیده
Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar pregnancy with a hydatidiform mole and a coexisting live fetus diagnosed at gestational week 14 using two-dimensional (2D) and three-dimensional (3D) ultrasound and magnetic resonance imaging. We also describe the obstetric management and postmolar follow-up.
منابع مشابه
Birth of a live fetus in twin pregnancy with hydatidiform mole and co-existent a live fetus: case report
Background: Twin pregnancy consist a healthy fetus, and hydatidium molar pregnancy is unusual and very rare. Its incidence is in about 1,22,000 to 1,100,000 of all pregnancies. This type of pregnancy is commonly associated with several obstetric complications requiring early termination of pregnancy. Managing a twin mole pregnancy with normal and live fetuses is controversial, although this unu...
متن کاملDizygotic Twin Pregnancy With a Complete Hydatidiform Mole and a Coexisting Viable Fetus
Coexistence of a viable fetus with a hydatidiform mole is a rare condition and the diagnosis is very important because of the risk of developing severe complications in pregnancy. The management of these pregnancies is optional, although accurate and great care is required to find early signs of maternal or fetal complications.Hereby we report a case of dizygotic twin pregnancy with a complete ...
متن کاملTwin pregnancy with hydatidiform mole and a coexistent live fetus
with a normal fetus and placenta. Twin pregnancies with partial hydatidiform mole coexisting with a live fetus are rarely reported, since fetuses identified with partial mole are generally triploid and tend to die in the first trimester.1,3,4 Hydatidiform mole with live fetus is associated with the risk of many maternal and fetal complications such as vaginal bleeding, preeclampsia, thromboembo...
متن کاملTwin pregnancy with complete hydatidiform mole and coexisting fetus following ovulation induction with a non-prescribed clomiphene citrate regimen: a case report
INTRODUCTION Twin pregnancy with complete hydatidiform mole represents a very rare obstetric problem. Management of such cases is always problematic because the possibility of fetal survival should always be weighed against the risk of complications of molar pregnancy. CASE PRESENTATION A 34-year-old Caucasian woman presented to our center with mild vaginal bleeding. Our patient was 16 weeks ...
متن کاملTerm delivery of a complete hydatidiform mole with a coexisting living fetus followed by successful treatment of maternal metastatic gestational trophoblastic disease.
OBJECTIVE A twin pregnancy consisting of a complete hydatidiform mole with a coexisting normal fetus is extremely rare with an incidence of 1/22,000 to 1/100,000. The incidence of preterm delivery is high and few pregnancies reach near term with a viable fetus. CASE REPORT A 34-year-old woman presented at 20 weeks of gestation with increased levels of serum beta human chorionic gonadotropin (...
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