Twin pregnancy with both complete hydatiform mole and coexistent alive fetus: Case report

Achour, Radhouane; Imen, Ben Aissa; Neji, Khaled

doi:10.1016/j.apjr.2015.07.013

Cited by 10 publications

(18 citation statements)

References 8 publications

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“…The serum β-hCG level can be a helpful indicator, when the serum β -hCG level remains above 106 mIU/mL, termination of pregnancy should be considered. In contrast, in cases of successful pregnancy outcomes with viable fetuses, the serum β -hCG level usually starts to decline from the beginning of the second trimester [13].…”

Section: Discussionmentioning

confidence: 96%

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

Abukaftah¹,

Jabeen²,

Moawad³

2018

Egyptian Journal of Hospital Medicine

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Partial molar pregnancy is an uncommon thing in which there is usually a triploid atypical fetus accompanying with a large placenta with cystic changes. The incidence of a normal diploid fetus and a partial molar placenta is really uncommon. Here we report a case of partial molar pregnancy in which a normal looking fetus with diploid karyotype coexist. A focal placental abnormal region was noticed at 13 weeks of pregnancy as enlargement associated with cystic changes. Fetus showed no clear deformity. Concerning these findings, the patient continued her pregnancy under close observation and advanced sonographic evaluations were made to rule out other differentials. There were no obstetric complications until the 28th gestational week when vaginal bleeding occurred. The patient underwent caesarian section and the products were sent for pathologic assessment which confirmed the partial molar changes.

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Section: Discussionmentioning

confidence: 96%

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

Abukaftah¹,

Jabeen²,

Moawad³

2018

Egyptian Journal of Hospital Medicine

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“…Worldwide, there are only few reported cases of complete hydatidiform mole coexisting with foetus (CHMCF) relative to hydatidiform mole alone due to the rarity of the former. [1][2][3] There are two different pathological entities of this term based on cytogenetic analysis. [9][10][11] These are: i) twin gestation in which one of the twin is a diploid foetus with a normal placenta and the other twin is a complete hydatidiform mole containing a diploid set of 46 chromosomes, all of paternal origin and no traces of foetal parts; ii) twin gestation in which one of the twin is a diploid foetus with normal placenta and the other twin is a triploid foetus with partial hydatidiform mole placenta that is derived from dispermic fertilization of a haploid normal oocyte.…”

Section: Discussionmentioning

confidence: 99%

“…1 Twin pregnancy with a complete hydatidiform mole coexisting with foetus (CHMCF) is very rare with an estimated incidence of 1 in 22,000 to 100,000 pregnancies. [1][2][3] This is in sharp contrast to the occurrence of hydatidiform mole alone which has an incidence of 0.57 to 1.1 per 1000 pregnancies in North America and Europe, and 2.0 per 1000 pregnancies in developing countries of Southeast Asia and Japan. 4 Several studies from various parts of Nigeria have reported incidence ranging from 1.7 to 6.0 per 1000 births.…”

Section: Introductionmentioning

confidence: 91%

“…6 Complete hydatidiform mole coexisting with foetus cases are at high risk of spontaneous abortion, chromosomal abnormalities, preterm delivery, intrauterine foetal death, intractable vaginal bleeding, preeclampsia, thyrotoxicosis and persistent trophoblastic disease (PTD). 2,3,7 Although it is still a rare finding, in recent times, there has been a relative increase in the incidence of multiple pregnancies with coexistent hydatidiform moles due to ovulation induction therapy and in vitro fertilization. 8…”

Section: Introductionmentioning

confidence: 99%

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Hydatidiform mole coexisting with normal foetus: A rare presentation of a case report from University of Maiduguri Teaching Hospital

et al. 2018

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A twin pregnancy comprising a complete hydatidiform mole coexisting with a foetus is a rare obstetric condition with an incidence of 1 in 22,000 to 1 in 100,000 pregnancies. The management of such case is challenging due to the associated risk of maternal and foetal complications. We report a case of a 25-year-old woman, gravida 2, para 1 with a normal intrauterine pregnancy coexisting with complete hydatidiform mole. An ultrasound scan demonstrated normal foetus and placenta along with coexistent intrauterine echogenic mass with features of hydatidiform mole. The microscopic examination of the abnormal placenta confirmed complete hydatidiform mole. Although twin pregnancy with complete hydatidiform mole and coexistent foetus is associated with increased risk of developing maternal and foetal complications, continuation of pregnancy may be an acceptable option under close monitoring to detect early signs of complications.

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“…5 Risk of persistent trophoblastic disease after complete mole varies from 19% to 50%. 3 Hence the need for follow up with β hCG.…”

Section: Case Reportmentioning

confidence: 99%

Twin pregnancy with a complete hydatidiform mole and coexisting foetus

Sheela

Karanth

Venkatachala

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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Twin pregnancy with both complete hydatiform mole and coexistent alive fetus: Case report

Cited by 10 publications

References 8 publications

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

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

Hydatidiform mole coexisting with normal foetus: A rare presentation of a case report from University of Maiduguri Teaching Hospital

Twin pregnancy with a complete hydatidiform mole and coexisting foetus

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