Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Oct 7:2019:5090565.
doi: 10.1155/2019/5090565. eCollection 2019.

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

Manisha Chhetry  1 , Aruna Pokharel  2 , Amar Nath Chaudhary  2
Affiliations
Case Reports

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

Manisha Chhetry et al. Case Rep Obstet Gynecol. .

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.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Ultrasound showing a heterogeneous cystic lesion anteriorly and a normal fetus.
Figure 2
Figure 2
Coexistent healthy baby.
Figure 3
Figure 3
Normal placenta and second sac showing placenta with grape like vesicles and no fetal poles.
See this image and copyright information in PMC

References

    1. Anderson C. K., Deiter R. W., Motz M. J., Goldstein J. A. Complete hydatidiform mole with a coexistent healthy, viable fetus near term: a case report. Journal of Reproductive Medicine. 1996;41(1):55–58. - PubMed
    1. Vandeginste S., Vergote I. B., Hanssens M., et al. Malignant trophoblastic disease following a twin pregnancy consisting of a complete hydatiform mole and a normal fetus and placenta. A case report. European Journal of Gynaecological Oncology. 1999;20(2):105–107. - PubMed
    1. Soysal M., Kara S., Ekici E. Twin pregnancy with a fetus and a complete hydatidiform mole. Archives of Gynecology and Obstetrics. 1996;259(1):41–44. doi: 10.1007/bf02505307. - DOI - PubMed
    1. Fishman D. A., Padilla L. A., Keh P., Cohen L., Frederiksen M., Lurain J. R. Management of twin pregnancies consisting of a complete hydatidiform mole and normal fetus. Obstetrics & Gynecology. 1998;91(4):546–550. doi: 10.1097/00006250-199804000-00012. - DOI - PubMed
    1. Malinowski W., Biskup I., Dec W. Sad fetus syndromegestational trophoblastic disease concurrent with a living fetus or fetuses. Acta Geneticae Medicine Et Gemellologiae: Twin Research. 1995;44(3, 4):193–202. doi: 10.1017/s0001566000001616. - DOI - PubMed

Publication types

LinkOut - more resources