Twin Pregnancy with Complete Hydatidiform Mole and Coexisting Live Foetus - Case Report

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Dr. Sabina Shrestha
Dr. Bhola Rijal
Dr. Suphatra Koirala
Dr. Hari Kishor Shrestha

Abstract

Abstract

Hydatidiform mole with a coexisting live twin is an extremely rare event. It poses a great challenge for the obstetrician to decide for or against the continuation of such a pregnancy. Although successful outcomes in the form of live births have been reported, continuation of pregnancy till term is usually uncommon. We report a case of 25 year old second gravida with complete hydatidiform mole coexisting with normal live foetus. At 26 week gestational age, prenatal diagnosis was made by biochemical and sonographic findings, in which elevated free Beta human chorionic gonadotrophin (β-hCG, 1724100 mIU/mL) was noted, ultrasound showed a well defined multicystic snowstorm like mass attached to anterior myometrium and a normal appearing foetus with normal appearing placenta in the posterior portion of the uterus. The patient delivered 700 gm male baby spontaneously at 26 plus weeks of gestation but the foetus could not survive due to extreme prematurity. The β-hCG level declined rapidly after the delivery and came to normal level at 12 weeks.

Keywords: Hydatidiform Mole, Coexisting Foetus, Dizygotic Twins.

Published Oct 22, 2016

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