Volume 71, Issue 12 (March 2014)
Tehran Univ Med J 2014, 71(12): 821-824 |
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Pourali L, Ayati S, Vahidroodsari F, Javanmard M, Poursadrollah F. Incomplete molar pregnancy with live coexisting fetus: a case report. Tehran Univ Med J 2014; 71 (12) :821-824
URL: http://tumj.tums.ac.ir/article-1-5858-en.html
URL: http://tumj.tums.ac.ir/article-1-5858-en.html
Leila Pourali1 
, Sedigheh Ayati1 , Fatemeh Vahidroodsari * 2, Manizhe Javanmard1 , Faezeh Poursadrollah3
, Sedigheh Ayati1 , Fatemeh Vahidroodsari * 2, Manizhe Javanmard1 , Faezeh Poursadrollah3
1- Department of Gynecology and Obstetrics, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Department of Gynecology and Obstetrics, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. ,vahidroodsarif@mums.ac.ir
3- Student of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Gynecology and Obstetrics, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. ,
3- Student of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (9359 Views)
Background: Twin pregnancy with a fetus and a diploid complete mole is not rare, but, the cases of twin pregnancy with a partial mole are rare. Nowadays, the prevalence of these cases has been increased due to the high rate of assisted reproductive techniques in reproductive medicine. The importance of twin pregnancy with a fetus and a diploid complete mole is mainly due to systemic complications such as hypertension and maternal hemorrhage and the possibility of trophoblastic tumor following delivery. Different studies have reported some results about similar cases, but limited case reports are presented in our country. The aim of this study is to report a case with incomplete molar pregnancy concomitant with a live fetus.
Case presentation: A 21 yr old woman (G2 ab1) referred to emergency department of Ghaem University Hospital in Mashhad. She complained of scant vaginal bleeding and spotting and a sonography report of a combined molar and normal pregnancy with 15 weeks gestational aged. During hospitalization, the pregnancy complicated with hypertension and proteinuria. Termination of pregnancy was planned at 17th weeks of gestation due to severe preeclampsia. After evacuation of uterus, during follow up visits, -hCG titer raised. Metastasis evaluation was negative. Pathology reports showed patial mole. Then, three doses of methotrexate (50 mg/m2 intra muscular) was administered and finally, according to the monthly follow up, -hCG level was undetectable.
Conclusion: The rate of pregnancy complications such as hypertension, hyperthyroidism, and obstetrics hemorrhage and also the risk of Gestational Trophoblastic Neoplasm (GTN) are increasing in incomplete molar pregnancy. Therefore, early diagnosis and timely treatment of molar pregnancy is very important to reduce maternal morbidity and mortality.
Type of Study: Case Report |
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