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Journal of Fetal Medicine

, Volume 5, Issue 4, pp 205–207 | Cite as

A Case of a Complete Hydatidiform Molar Pregnancy with a Co-existent Live Fetus

  • Aradhana Aggarwal
  • Chanchal Singh
  • Shreyasi Sharma
  • Apoorva Reddy
  • Anita Kaul
Original Article
  • 11 Downloads

Abstract

Complete hydatidiform mole with a co-existent healthy fetus (CHMCF) is a rare occurrence. The estimated incidence is about 1/22,000 to 1/100,000 pregnancies. As CHMCF is often associated with a high risk of pre-eclampsia, hyperthyroidism, bilateral ovarian cysts, intrauterine fetal demise and malignant neoplasia, fetal survival should always be weighed against the risk of complications of molar pregnancy. We report a case of a 35 years-old patient with raised β-hCG levels of 10.2 MoM and sonographic findings suggestive of a molar pregnancy at 15 weeks, who chose to continue the pregnancy after extensive counselling. With close surveillance, we managed to continue the pregnancy till 36 weeks, when the pregnancy was terminated via an elective Caesarean in view of fetal growth restriction with oligohydramnios, cerebral redistribution and previous 2 LSCS. A baby boy weighing 1600 grams was born with an Apgar score of 8, 9. Placental histopathology and microscopy showing large distended and cystic dilated villi with odematous cores was suggestive of a hydatidiform mole confirming our diagnosis of CHMCF.

Keywords

Complete hydatidiform mole with a co-exsistent healthy fetus Pre-eclampsia High risk pregnancy Molar pregnancy Dichorionic twin pregnancy Triploid fetus Partial hydatidiform mole 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Society of Fetal Medicine 2018

Authors and Affiliations

  1. 1.Apollo Cradle HospitalAmritsarIndia
  2. 2.Madhukar Rainbow Children’s HospitalNew DelhiIndia
  3. 3.CK Birla Hospital for WomenGurugramIndia
  4. 4.Maharaja Agrasen HospitalNew DelhiIndia
  5. 5.Apollo Hospital for Fetal Medicine, Indraprastha Apollo HospitalNew DelhiIndia

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