A rare case of complete hydatidiform mole with a live fetus: a case report

Authors

  • Ezhil Arasi Nagamuthu Department of Pathology, Osmania Medical College, Hyderabad, Telangana
  • Srilatha Bollipogu Department of Pathology, Modern Government Maternity Hospital, Hyderabad, Telangana
  • Syeda Sumaiya Fatima Department of Pathology, Modern Government Maternity Hospital, Hyderabad, Telangana
  • Padmavathy Mudavath Department of Pathology, Modern Government Maternity Hospital, Hyderabad, Telangana

DOI:

https://doi.org/10.18203/2320-6012.ijrms20162015

Keywords:

Twin pregnancy, Complete hydatidiform mole

Abstract

Twin pregnancy with complete hydatidiform mole represents a very rare obstetric problem resulting in a healthy take-home baby with only 56 cases documented in detail in literature. The main issue is to differentiate between two diagnoses: dichorionic twin pregnancy with normal fetus (46 chromosomes, 23 maternal and 23 paternal) and complete molar pregnancy (46 chromosomes, all paternal) and singleton pregnancy consisting of a triploid fetus with partial hydatidiform mole placenta (69 chromosomes, 23 maternal and 46 paternal). Management of such cases is always problematic because the possibility of fetal survival should always be weighed against the risk of complications of molar pregnancy. The specimen was received for histopathological examination and fixed in 10% formalin for processing. After gross analysis representative sections were given for tissue processing. Sections were processed routinely with paraffin embedding and stained with haematoxylin and eosin. In the present report a case of   25-year-old woman who presented to the center referred from peripheral center with 27 weeks of gestation, diagnosed as twin pregnancy with molar pregnancy and single live fetus.

References

Vimercati A, Gennaro ACD, Cobuzzi I, Grasso S, Abruzzese M, Fascilla FD, et al. Two cases of complete hydatidiform mole and coexistent live fetus. Luigi Selvaggi Obstetrics, Gynaecology and Neonatology, University of Bari, Bari, Italy. Journal of Prenatal Medicine. 2013;7(1):1-4.

Moini A, Ahmadi F, Eslami B, Zafarani F. Dizygotic Twin Pregnancy With a Complete Hydatidiform Mole and a Coexisting Viable Fetus. Iran J Radiol. 2011;8(4):249-52.

Dolapcioglu K, Gungoren A, Hakverdi S, Hakverdi AU, Egilmez E. Twin pregnancy with a complete hydatidiform mole and co-existent live fetus: two case reports and review of the literature. Arch Gynecol Obstet. 2009;279:431-6.

Piura B, Rabinovich A, Hershkovitz R, Maor E, Mazor M. Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus. Arch Gynecol Obstet. 2008;278:377- 82.

Vaisbuch E, Ben-Arie A, Dgani R, Perlman S, Sokolovsky N, Hagay Z. Twin pregnancy consisting of a complete hydatidiform mole and co-existent fetus: report of two cases and review of literature. Gynecol Oncol. 2005;98:19-23.

Montes-de-Oca-Valero F, Macara L, Shaker A. Twin pregnancy with a complete mole and co-existing fetus following in vitro fertilization. Hum Reprod. 1999;14:2905-7.

Downloads

Published

2017-01-03

How to Cite

Nagamuthu, E. A., Bollipogu, S., Fatima, S. S., & Mudavath, P. (2017). A rare case of complete hydatidiform mole with a live fetus: a case report. International Journal of Research in Medical Sciences, 4(7), 3086–3089. https://doi.org/10.18203/2320-6012.ijrms20162015

Issue

Section

Case Reports