Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report

Authors

  • Sandeep J Haldwani, Uttarakhand, India
  • Divyashree Haldwani, Uttarakhand, India
  • Pallovie Singh Haldwani, Uttarakhand, India
  • Rajesh Saket Haldwani, Uttarakhand, India

DOI:

https://doi.org/10.21276/apjhs.2015.2.3.14

Keywords:

Inflammatory internal resorption, Diagnosis, Management

Abstract

Cases of twin pregnancy where a normal viable fetus coexists with a hydatidiform mole have been reported rarely. The incidence ranges from 1 in 20,000 to 1 in 1, 00000 pregnancies. This condition is a consequence of dizygotic twinning. The fetus, in such cases, is chromosomally normal as opposed to the mole. We report one such case where a twin pregnancy consisted of a viable 12 week old fetus and its normally formed placenta coexisting with a complete hydatidiform mole in the other twin sac. There is a greater risk of persistent trophoblastic disease (50– 60%) in cases where a complete mole coexists with a fetus as opposed to single molar pregnancies (14%).By reporting this case, we strive to highlight the need for more vigilant obstetric surveillance in such patients by serial beta-HCG estimation, and sonographic evaluation in conjunction with doppler and MRI when available.

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Author Biographies

Sandeep J, Haldwani, Uttarakhand, India

Government medical college, 

Divyashree, Haldwani, Uttarakhand, India

Government medical college, 

Pallovie Singh, Haldwani, Uttarakhand, India

Government medical college,

Rajesh Saket, Haldwani, Uttarakhand, India

Government medical college, 

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Published

2015-09-30

How to Cite

Sandeep J, Divyashree, Pallovie Singh, & Rajesh Saket. (2015). Complete hydatidiform mole coexisting with a viable fetus in a twin pregnancy – a case report . Asian Pacific Journal of Health Sciences, 2(3), 62–65. https://doi.org/10.21276/apjhs.2015.2.3.14