Title: A Normal Live Intrauterine Fetus and Coexistent of Complete Hydatidiform Mole- A Rare Case

Authors: Dr Dalpat Singh Rajpurohit, Dr Sachin, Dr Mohit Jakhar, Dr Anil Jangir

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.73

Abstract

Our aimed to describe prenatal diagnosis and the outcome of complete hydatidiform mole and coexistent normal fetus.

A pregnant woman of 16 week 3 days GA has a vesicular mass along anterior uterine wall and normal fetus at ultrasound. On ultrasound patient have hematoma at lower uterine segment covering internal os and sub amniotic haemorrhage is also seen. Our diagnosis is twin pregnancy with a normal live intrauterine fetus and coexistent of complete hydatidiform mole, hematoma at lower uterine segment and sub-amniotic haemorrhage.

Fetus weighing 300 g was delivered by induction at 17gestational weeks, because patient having completed their family and risk of persistent trophoblastic disease. The findings on USG is confirmed after delivery.

Keywords: MPD (mesenchymal placental dysplasia), SCH (sub chorionic hemorrhage).

References

  1. Stellar MA, Genest DR, Bernstein MR, et al. Natural history of twin pregnancy with complete hydatidiform mole and coexisting fetus. Obstet Gynaecol1994; 83:35-42.
  2. Sebire NJ, Foskett M, Pardinas FJ, et al. Outcome of twin pregnancy with complete hydatidiform mole and healthy co-twin. Lancet 2002; 359:2165-2166.
  3. Bristow RE, Shumway JB, Khouzami AN, Witter FR: Complete hydatidiform mole and surviving coexistent twin. Obstet Gynaecol Surv 1996; 51:705–709.
  4. Fishman DA, Padilla LA, Keh P, Cohen L, Frederiksen M, Lurain JR: Management of twin pregnancies consisting of a complete hydatidiform mole and normal fetus. Obstet Gynaecol 1998; 91:546–550.
  5. Jauniaux E, Nicolaides KH: Early ultrasound diagnosis and follow-up of molar pregnancies. Ultrasound Obstet Gynaecol1997; 9:17–21.
  6. Cunningham ME, Walls WJ, Burke MF. Grey-scale ultrasonography in the diagnosis of hydatidiform mole with a coexistent fetus. Br J Obstet Gynaecol. 1977;84(1):73–5.
  7. Piura B, Rabinovich A, Hershkovitz R, et al. Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus. Arch Gynaecol Obstet. 2008;278(4):377–82.
  8. Wang PS, Horrow MM. Twin pregnancy with complete hydatidiform mole and normal coexisting fetus. Ultrasound Q. 2013;29(3):219–20.
  9. Himoto Y, Kido A, Minamiguchi S, et al. Prenatal differential diagnosis of complete hydatidiform mole with a twin live fetus and placental mesenchymal dysplasia by magnetic resonance imaging. J Obstet Gynaecol Res. 2014;40(7):1894–900.
  10. Sanchez-Ferrer ML, Hernandez-Martinez F, Machado-Linde F, et al. Uterine rupture in twin pregnancy with normal fetus and complete hydatidiform mole. Gynaecol Obstet Invest. 2014;77(2): 127–33.
  11. Niemann I, Sunde L, Petersen LK. 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):45e1-5.
  12. Bruchim I, Kidron D, Amiel A, et al. Complete hydatidiform mole and a coexistent viable fetus: report of two cases and review of the literature. Gynaecol Oncol. 2000;77(1):197–202.
  13. Chen FP. Molar pregnancy and living normal fetus coexisting until term: prenatal biochemical and sonographic diagnosis. Hum Reprod. 1997;12(4):853–6.

Corresponding Author

Dr Sachin

PG MD Student

Radiodiagnosis Department of Dr SNMC Jodhpur (Raj)