Twin pregnancy with a coexisting mole: case report

Divya Venkataramani, Sudha Sivakumar, Preetha Thamilchelvan


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.


Molar, Bhcg, Pregnancy, Ultrasound

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