Archives of Gynecology and Obstetrics

, Volume 279, Issue 3, pp 431–436

Twin pregnancy with a complete hydatidiform mole and co-existent live fetus: two case reports and review of the literature

Authors

    • Department of Obstetrics and Gynecology, Faculty of MedicineMustafa Kemal University
    • MKU Arastirma Hastanesi
  • Arif Gungoren
    • Department of Obstetrics and Gynecology, Faculty of MedicineMustafa Kemal University
  • Sibel Hakverdi
    • Department of Pathology, Faculty of MedicineMustafa Kemal University
  • Ali Ulvi Hakverdi
    • Department of Obstetrics and Gynecology, Faculty of MedicineMustafa Kemal University
  • Ertugrul Egilmez
    • Department of Radiology, Faculty of MedicineMustafa Kemal University
Case Report

DOI: 10.1007/s00404-008-0737-x

Cite this article as:
Dolapcioglu, K., Gungoren, A., Hakverdi, S. et al. Arch Gynecol Obstet (2009) 279: 431. doi:10.1007/s00404-008-0737-x

Abstract

Introduction

The aim of this study was to report the clinical features, management, and outcome of two cases of complete hydatidiform mole with a coexisting viable fetus and to review the literature.

Case reports

In this article, we report on the well-documented follow-up of two cases of twin pregnancies with complete hydatidiform mole and a normal fetus. Genetic amniocentesis showed normal fetal karyotype in both of two cases. In the first case, a live male infant was delivered by a cesarean section because of severe maternal bleeding at 29 weeks of gestation. In the second case, termination of pregnancy was performed due to early onset of severe preeclampsia and vaginal hemorrhage.

Conclusion

The chances of a live birth have been estimated between 30 and 35% and the risk of persistent trophoblastic disease is similar to singleton molar pregnancies in complete mole with coexisting fetus pregnancy. Therefore, in these pregnancies, expectant management instead of termination of pregnancy can be suggested.

Keywords

Gestational trophoblastic diseaseHydatidiform moleTwin pregnancy

Copyright information

© Springer-Verlag 2008