Living fetus without congenital malformation in a singleton partial hydatidiform molar pregnancy: a case report and review of the literature

Authors

  • Babita Ramani Department of Obstetrics & Gynecology, VSS Medical College & Hospital, Burla VSS Medical College Campus, Sambalpur, Odisha, India
  • Ojaswini Patel Department of Obstetrics & Gynecology, VSS Medical College & Hospital, Burla VSS Medical College Campus, Sambalpur, Odisha, India
  • Santosh Kumar Behera Department of Obstetrics & Gynecology, VSS Medical College & Hospital, Burla VSS Medical College Campus, Sambalpur, Odisha, India
  • Sharmila Pradhan Department of Obstetrics & Gynecology, VSS Medical College & Hospital, Burla VSS Medical College Campus, Sambalpur, Odisha, India
  • Soumya Ranjan Panda Department of Obstetrics & Gynecology, VSS Medical College & Hospital, Burla VSS Medical College Campus, Sambalpur, Odisha, India

Keywords:

Thickened placenta, Partial hydatidiform mole, Congenital malformation, Developmental milestone

Abstract

A 36 years old  lady gravida 2 para 1, came to our emergency ward at 9:30 pm on 12th  June 2010  with complains of bleeding p/v for 2 hours with history of bleeding at 12 weeks. On examination she was anemic and uterus was 32 weeks size with good fetal heart sound. Bleeding was coming through os, on p/s examination. Ultrasonography showed a single live fetus of 1033 grams and thickened placenta (79 mm thickness) showing multiple cystic lesion with peripheral hypervascularity, giving an impression of partial hydatidiform mole. She was managed conservatively and delivered a live preterm male child of 960 grams on 13th June 2010 evening without any congenital malformation. Placental weight was 1800 grams with multiple small vesicles. Now the boy is 4 years old and going to school with normal developmental milestone.

References

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.

Hsieh CC, Hsieh TT, Hsueh C, Kuo DM, Lo LM, Hung TH. Delivery of a severely anaemic fetus after partial molar pregnancy: clinical and ultrasonographic findings. Hum Reprod. 1999;14:1122-6.

Sumigama S, Itakura A, Yamamoto T, Nagasaka T, Yamamoto E, Ino K, et al. Genetically identified complete hydatidiform mole coexisting with a live twin fetus: comparison with conventional diagnosis. Gynecol Obstet Invest. 2007;64:228-31.

Jongen VH, Koetsier DW. Pitfalls in the diagnosis of complete hydatidiform mole with coexistent live fetus. Trop Med Int Health. 1997;2:289-90.

Deaton JL, Hoffman JS, Saal H, Allred C, Koulos JP. Molar pregnancy coexisting with a normal fetus: a case report. Gynecol Oncol. 1989;32:394-7.

Zhang P, McGinniss MJ, Sawai S, Benirschke K. Diploid/triploid mosaic placenta with fetus. Towards a better understanding of partial moles. Early Hum Dev. 2000;60(1):1-11.

Zahida P, Rubina B, Taimur J, Iftikhar Q. Partial hydatidiform mole along with term gestation and alive baby. J Ayub Med Coll Dec. 2004;16(4):84-5.

Bruchim I, Kidron D, Amiel A, Altaras M, Fejgin MD. Complete hydatidiform mole and a coexistent viable fetus. Report of two cases and review of the literature. Gynecol Oncol. 2000;77(1):197-202.

Tamrakar SR, Chawla CD. Preterm gestation along with partial hydatiform mole and alive foetus. Kathmandu Univ Med J. 2011;35(3):222-4.

Seckl MJ, Fisher RA, Salerno G, Rees H, Paradinas FJ, Foskett M, et al. Choriocarcinoma and partial hydatidiform moles. Lancet. 2000;356(9239):36-9.

Downloads

Published

2017-02-10