• Laxmi V Baxi, Mahesh Mansukhani, Harshwardhan M Thaker, and Elvira Parravicini.
• Department of Obstetrics and Gynecology, New York University Langone Medical Center, New York, NY, USA. baxilax@gmail.com
• J Reprod Med. 2014 Nov 1; 59 (11-12): 599-602.

BackgroundCoexistence of complete mole and a live fetus is uncommon (1:22,000-100,000), more so with euploidy.CaseWe present a case of a molar pregnancy with a euploid fetus who had close fetal evaluation for second trimester bleeding. The patient presented at 29 weeks' pregnancy with decreased fetal movements, a result of fetomaternal hemorrhage. She underwent cesarean section and delivered a live infant. By close follow-up and a multidisciplinary approach, the appropriate diagnosis and a favorable outcome were achieved. Both mother and the child at 5 years of age are doing well.ConclusionDetailed anatomic and molecular studies demonstrated a complete mole resulting from confined placental mosaicism, with molar tissue showing a single paternal allele at 8/8 informative loci, all shared with the fetus, thus this coexistent molar pregnancy was not that of a separate conceptus.

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