Twin pregnancy with a coexisting mole: case report

Authors

  • Divya Venkataramani Department of Obstetrics and Gynaecology, Madurai Medical College, Madurai, Tamil Nadu, India
  • Sudha Sivakumar Department of Obstetrics and Gynaecology, Madurai Medical College, Madurai, Tamil Nadu, India
  • Preetha Thamilchelvan Department of Obstetrics and Gynaecology, Madurai Medical College, Madurai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20220592

Keywords:

Molar, Bhcg, Pregnancy, Ultrasound

Abstract

Twin molar pregnancy with a coexisting live fetus and a hydatidiform mole is a rare form of the gestational trophoblastic disease associated with increased risk of obstetrical complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counselling and follow-up in tertiary care centers. The incidence ranges from 1 in 20,000 to 1 in 1,00,000 pregnancies. Management of such cases is tough because the possibility of fetal survival should be weighed against the risk of complications of molar pregnancy. A case of twin molar pregnancy and a coexisting live fetus diagnosed at 15 weeks using ultrasound is described from obstetrical management to a post molar follow-up.

References

Management of Gestational Trophoblastic Disease, Green Top Guidelines No.38, BJOG. An International J Obstet Gynaecol. 2020;128(3):1-27.

Johnson C, Davitt C, Harrison R, Cruz M. Expectant management of a Twin pregnancy with Complete hydatidiform mole and coexistent normal foetus. Case Rep Obstet Gynaecol. 2019:1-34.

Braga A, Obeica B, Werner H, Sun SY, Amim Y, Filho JR et al. A twin pregnancy with a hydatidiform mole and a coexisting live foetus: prenatal diagnosis, treatment and follow-up. J Ultrason. 2017;17:299-305.

Sukasi M, Suwanrath C, Kor-Anantakul O, Geater A, Hanprasertpong T, Atjimakul T, Pitchatechaiyoot A.Complete hydatidiform mole with co-existing fetus: Predictors of live birth. Eur J Obstet Gynecol Reprod Biol. 2017;212:1-8.

Duggan P, Lung Y, Neesham D, Nally OM, Garrett A, Brand A et al. The Management of Gestational trophoblastic disease. Ranzcog. 2013;31:1-17.

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Published

2022-02-25

Issue

Section

Case Reports