Term Delivery of a Complete Molar Pregnancy with a Coexistent Normal Pregnancy

Abstract

Twin pregnancy with a complete mole and a coexistent normal fetus reaching term is a rare occurrence. We report a case of a 21-yrs G2P1L0 un-booked patient at 39 weeks who was referred for the same condition diagnosed incidentally on ultrasound scan which showed a singleton pregnancy in breech presentation with a normal placenta and a heterogeneous cystic lesion seen anteriorly, suggesting a coexistent molar pregnancy. Cesarean section was done, and a healthy male baby was delivered with a grossly normal placenta and a second placenta with grape like vesicles. Histopathology confirmed the diagnosis of complete mole and normal placenta. Postoperative period was uneventful, and the patient was kept on beta hcg follow-up to monitor progression to gestational trophoblastic neoplasia, but it normalized by 12 weeks.

Atypical presentation of molar pregnancy at third trimester- A case report from eastern Nepal.

“…A case report of, 21-years G2P1L0 un-booked patient at 39 weeks with a singleton pregnancy with a coexisting molar pregnancy, managed with cesarean section has been reported. 8 Another case report of Italy, 37-year old white woman, G1, at 30 weeks of gestation presenting with partial molar pregnancy with a normalappearing male fetus with diploid karyotype delivered at 31 weeks of gestation has been reported. 9 But, our case is quite different from theirs as it did not have any fetal parts.…”

Management of a complete hydatidiform mole with a coexisting live fetus followed by successful treatment of maternal metastatic gestational trophoblastic disease: learning points

“…Literature has frequently reported on the poor outcomes associated with complete moles and a coexisting fetus 6–15. It has been documented that there is a 30%–35% chance of a live birth, a 35% chance of persistent GTD post delivery, and in ongoing pregnancies, a 20% risk of early onset pre-eclampsia and 30% risk of fetal loss.…”