Birth of a live fetus in twin pregnancy with hydatidiform mole and co-existent a live fetus: case report
نویسندگان
چکیده مقاله:
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 unusual type of abnormalities in most cases leads to abortion or intrauterine fetal death. In other hand, due to the high probability of obstetric complications during pregnancy, such as preeclampsia in 25% of cases, metabolic complications such as hyperthyroidism and vaginal bleeding pregnancy is terminated. Survival of the normal coexisting fetus is variable and depends on whether the diagnosis is made, and if so, whether problems from the molar component. Present study reported a case of coexisting mole and live fetus twin pregnancy with successful outcome. Case presentation: A 35 years old woman, G2ab1 which was diagnosed to have twin pregnancy with mole and coexisting live fetus in 11 weeks of gestational age was referred to obstetric department of Ghaem Hospital, Mashhad University of Medical Sciences, Iran in January 2017. Close follow-up and obstetric surveillance had performed for her and at the last her pregnancy was terminated in gestational age of 36 weeks; a healthy male infant. The β-human chorionic gonadotrophin (BhCG) levels still is undetectable after one year. Conclusion: Twin pregnancy with one normal fetus and a co-existing molar pregnancy could be continued under close surveillance if the live fetus has normal karyotypes and no structural anomaly and decreasing level of serum BhCG level during the time. Close monitoring necessary even after termination due to increasing risk of persistence trophoblastic disease after termination, what was performed in this case also.
منابع مشابه
Twin 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 Hydatidiform Mole and Co-existent Live Fetus: Lessons Learnt.
This is a case report of a twin pregnancy with one fetus and a coexistent mole diagnosed at 13 weeks. After thorough counseling, the pregnancy was continued as per the patient's desire. The pregnancy was closely monitored with serial S β hCG, ultrasound for fetal growth, size of molar sac, and theca lutein cysts, which gradually decreased in size during the second trimester of pregnancy. An eme...
متن کاملHydatidiform mole coexistent with a twin live fetus: a national collaborative study in Japan.
A national collaborative study was conducted in Japan to evaluate the clinical course and the sequelae of patients with hydatidiform mole coexistent with twin live fetus (HMTF). Seventy-two cases of HMTF were diagnosed based on gross appearance and histopathological criteria. In 18 cases, the molar parts were cytogenetically confirmed to be of androgenetic origin (complete mole). The overall in...
متن کاملtwin pregnancy of a complete hydatidform mole and a co-existent fetus: a very rare case report
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A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up
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 place...
متن کاملTwin Pregnancy of a Complete Hydatidform Mole and a Co-existent Fetus: A Very Rare Case Report
Implication for health policy/practice/research/medical education: This was a very rare case report to draw attentions to unusual features of Mole hydatiform in pregnant women. Copyright © 2013, Iranian Red Crescent Medical Journal; Licensee Kowsar Ltd. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/...
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عنوان ژورنال
دوره 76 شماره 9
صفحات 642- 646
تاریخ انتشار 2018-12
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