International Journal of Infertility & Fetal Medicine

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VOLUME 10 , ISSUE 3 ( September-December, 2019 ) > List of Articles

CASE REPORT

Complicated Triplet Gestation Reduced to Twins with Partial Hydatidiform Mole and a Coexisting Live Fetus: A Case Report Managed in a Tertiary Care Center

Ketki S Kulkarni, Minal P Dhanvij, Anchal Goel

Keywords : Coexisting live fetus, Complicated pregnancy, Fetus papyraceous, Partial mole, Triplets

Citation Information : Kulkarni KS, Dhanvij MP, Goel A. Complicated Triplet Gestation Reduced to Twins with Partial Hydatidiform Mole and a Coexisting Live Fetus: A Case Report Managed in a Tertiary Care Center. Int J Infertil Fetal Med 2019; 10 (3):58-62.

DOI: 10.5005/jp-journals-10016-1192

License: CC BY-NC 4.0

Published Online: 23-11-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Pregnancies with hydatidiform mole and a live fetus are extremely rare, arising in about 1 in 20,000–100,000 pregnancies. Multifetal gestations are increasing due to increase in infertility treatment, and so the complications related to it are on the verge of rising. Also, the partial mole with live fetus is a rare entity, and only few cases are reported in the literature. The objective of the study is reporting a rare case and reviewing the available literature in an attempt to make clinical guidelines. We are reporting a case of 36-year-old, elderly primigravida with in vitro fertilization conception at 29.1 weeks of gestation with severe preeclampsia. She was triplet gestation in early ultrasonography scan reports, and fetal reduction was done at 11 weeks and reduced to twins. A lower segment cesarean section was done, and a healthy male fetus of 1,100 g was delivered. Placenta of the live triplet and the fetus papyraceous (200 g) was delivered with a thin cord attached to hydatidiform molar placenta and vesicles. The dilemma is whether to continue such pregnancy or to terminate it, as it is a critical issue to solve. The watchful monitoring of such cases can provide optimum outcome and prevention of metastasis.


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  1. Twin pregnancy with partial hydatidiform mole and coexistent fetus. Arch Pathol Lab Med 2004;128:1305–1306.
  2. Twin pregnancy consisting of a complete hydatidiform mole and co-existent fetus: Report of two cases and review of literature. Gynecol Oncol 2005;98(1):19–23. DOI: 10.1016/j.ygyno.2005.02.002.
  3. Hydatidiform mole with surviving co-existent fetus. Obstet Gynecol 1980;56(3):384–388.
  4. Delayed-interval delivery in a quadruplet pregnancy after intrauterine death of a partial molar pregnancy and preterm delivery. a case report. J Reproduct Med 1998;43(12):1051–1054.
  5. J. Dizygotic twin pregnancy with a normal fetus and a nodular embryo associated with a partial hydatidiform mole. Pediatr Dev Pathol 2012;13(6):476–480. DOI: 10.2350/09-11-0735-CR.1.
  6. Triplet pregnancy with partial hydatidiform mole. J Indian Med Assoc 2011;109(2):116–117.
  7. Triplet pregnancy with partial hydatidiform mole coexisting with two fetuses after ovulation induction and intrauterine insemination. Gynecol Obstet Reproduct Med 2016;21(3):1300–4751.
  8. Triplet pregnancy with partial hydatidiform mole coexisting with two fetuses: a case report. J Obstet Gynaecol Res 2008;34(4pt2):641–644. DOI: 10.1111/j.1447-0756.2008.00899.x.
  9. Partial hydatidiform mole progression into invasive mole with lung metastasis following in vitro fertilization. Oncol Lett 2012;3(3):659–661. DOI: 10.3892/ol.2011.542.
  10. Twin pregnancy with partial hydatidiform mole and coexistent normal fetus. J Obstet Gynaecol 2009;26(4):379–380. DOI: 10.1080/01443610600618747.
  11. Partial hydatidiform mole and coexisting viable twin pregnancy. Pediatr Emerg Care 2013;29(12):1298–1300.
  12. Partial mole with a diploid fetus: case study and literature review. Fetal Diagn Ther 2009;25(3):354–358. DOI: 10.1159/000235885.
  13. Medical termination of a partial hydatidiform mole and coexisting fetus during the second trimester: a case report. Oncol Lett 2015;10(6):3625–3628. DOI: 10.3892/ol.2015.3743.
  14. Twin pregnancy with partial hydatidiform mole and alive fetus: case report. Obstetricia de Mexico 2008;76(5):275–279.
  15. Hydatidiform mole coexistent with a twin live fetus: a national collaborative study in Japan. Hum Reprod 2000;15(3):608–611. DOI: 10.1093/humrep/15.3.608.
  16. Evaluation of the risk of persistent trophoblastic disease after twin pregnancy with diploid hydatidiform mole and coexisting normal fetus. Am J Obstet Gynecol 2007;197(1):45.e1-5. DOI: 10.1016/j.ajog.2007.02.038.
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