A Case Report of Partial Molar Pregnancy Associated with a Normal Dizygotic Twin

Abukaftah, Abdullah; Jabeen, Sumirah; Moawad, Abdullah

doi:10.12816/0044552

Cited by 2 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abukaftah ( 11 ) also reported a 40-year-old woman (gravida 6 para 4+1) presented at 12 th week of pregnancy with abdominal pain and vaginal bleeding. The patient was admitted and managed for threatened abortion but the mother decided to continue her pregnancy.…”

Section: Discussionmentioning

confidence: 98%

Molar Changes with a Normal Viable Fetus: A Case Report

Farazestanian

Maleki

Bolandi

et al. 2020

JFRH

View full text Add to dashboard Cite

Objective: The presence of a normal fetus with normal karyotype accompanied by molar changes in the placenta is a rare condition, which carries a significant risk to the mother and fetus. There is a controversy regarding the proper management of this condition. Here, we present the case of a singleton pregnancy that showed molar changes in the pathological study of the placenta, but ended up with a normal viable neonate. Case Report: A 23-year-old primigravida woman, with a 3-year history of infertility, presented with vaginal bleeding and spotting. Her ß-human chorionic gonadotropin (HCG) at 13th week was 36500 mIU/ml. Serial sonography assessments were suggestive for molar changes and a normal fetus with growth retardation but normal Doppler assessment. The patient underwent elective Cesarean section at 37 weeks gestation and a healthy female neonate with an Apgar score of 9-10, weighing 2270 g was born. Pathological assessment of the placenta confirmed the diagnosis of incomplete hydatidiform mole. After two months, the mother had no complications, her ß-HCG level was untraceable, and the infant was in good condition. Conclusion: Despite being a rare condition, partial moles can be accompanied by delivery of a normal fetus. The management of this condition still remains challenging and should be done under close monitoring with extreme caution.

show abstract

Section: Discussionmentioning

confidence: 98%

Molar Changes with a Normal Viable Fetus: A Case Report

Farazestanian

Maleki

Bolandi

et al. 2020

JFRH

View full text Add to dashboard Cite

show abstract

Partial mole with coexistent live fetus: A systematic review of case reports

Mangla¹,

Kaur²,

Khoiwal³

2022

J Turkish German Gynecol Assoc

View full text Add to dashboard Cite

Objective: Molar pregnancy coexistent with a live fetus can be a diagnostic and therapeutic challenge. With increasing incidence of multiple pregnancies, there has also been an increase in twin pregnancy with one mole in the recent years. The authors discuss the epidemiology, clinical presentation, and prenatal diagnosis and attempt to design a possible management strategy, to help guide the treating physician, in the management of partial mole with live pregnancy, thereby improving maternal and fetal prognosis. Material and Methods: Numerous case reports have been published in various journals regarding management of individual cases of partial molar pregnancy coexistent with live fetus (PMCF). Therefore, we conducted a systematic review of all the case reports and short case series in English concerning partial mole with live pregnancy from 1999 to 2019, that is in the last 20 years. Results: In total, 44 case reports of PMCF were analyzed. The mean gestational age at diagnosis was 20+6 (range: 10-40) weeks. Less than half (19/44; 43.2%) were asymptomatic at the time of detection and PMCF was detected on routine scan done for fetal well-being or 11-13-week scan. The majority (56.8%) resulted in the birth of a healthy live fetus. Gestational trophoblastic neoplasia developed in 3/44 (6.8%). Conclusion: PMCF involves a high risk of bleeding, preterm labour, intrauterine growth restriction and stillbirth. Successful management of such cases needs prenatal diagnosis, antepartum surveillance and post-natal follow-up. An obstetrician, maternal fetal medicine specialist, gynecology oncologist and neonatal intensivist should be involved in the care of such pregnancies.

show abstract

A Case Report of Partial Molar Pregnancy Associated with a Normal Dizygotic Twin

Cited by 2 publications

References 12 publications

Molar Changes with a Normal Viable Fetus: A Case Report

Molar Changes with a Normal Viable Fetus: A Case Report

Partial mole with coexistent live fetus: A systematic review of case reports

Contact Info

Product

Resources

About