• Medicine · Nov 2023

    Review Case Reports

    Twin pregnancy with incomplete hydatidiform mole and coexistent normal live fetus: A case report and review of the literature.

    • Carlos Ernesto Mora-Palazuelos, Luis Garay-Vizcarra, Paul Gonzalez-Quintero, Daniel Miranda-Rosas, Eri Peña-Martínez, Erik Rene Lizarraga-Verdugo, Saul Armando Beltrán-Ontiveros, and Jose Geovanni Romero-Quintana.
    • Center for Research and Teaching in Health Sciences, Autonomous University of Sinaloa, Culiacan, Sinaloa, Mexico.
    • Medicine (Baltimore). 2023 Nov 3; 102 (44): e35072e35072.

    RationaleA pregnancy with incomplete mole is very rare case. Hydatidiform mole (HM) with live fetus is associated with a risk of a wide variety to maternal and fetal complications. The incidence of a normal live fetus and an incomplete mole such as the case we describe is extremely rare.Patient ConcernWe report a case of multiparous 34-year-old at Culiacan Mexico woman with incomplete mole coexisting with normal fetus, pregnant 35.3 weeks who presented anemia grade II.DiagnosisThe initial diagnosis of the mole was by ultrasound.InterventionsKERR-type cesarean section and bilateral tubal occlusion. The newborn was morphologically normal, and she did not require intervention or treatment.OutcomesThe newborn was feminine, morphologically normal, weighing 2380 g and 47 cm, APGAR score 8 to 9, delivered prematurely, and there was a large placental plate. The blood loss on surgery was estimated at 1000 mL. Histopathology report of an incomplete hydatidiform mole, negative for malignancy. Histopathology diagnostic was confirmed by immunohistochemistry staining for p57KIP2.LessonsAlthough the incidence of this pregnancy is very rare, early recognition, diagnosis and divulge of the cases of medical community is very important for patient care.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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