Twin pregnancy with a coexisting mole: case report

Divya Venkataramani; Sudha Sivakumar; Preetha Thamilchelvan

doi:10.18203/2320-1770.ijrcog20220592

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.

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References

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