Skip to main content
Log in

Twin Pregnancy with Complete Hydatidiform Mole and Co-existent Live Fetus

  • Brief Communication
  • Published:
Journal of Fetal Medicine

Abstract

A 14-week pregnant woman had a mixed echogenic mass of size 4x12 cm at placenta portion and normal fetus at ultrasound. The image of the mass was very similar to a huge subchorionic hematoma (SCH). The fetal chromosomes by amniocentesis were normal. The presumed diagnoses were huge SCH or twin pregnancy with complete hydatidiform mole and co-existent fetus (CHMCF). A male fetus weighing 760 g was delivered at 25 gestational weeks. The findings on the placental biopsy showed twin pregnancy with CHCMF. With ultrasound findings of this type, the possibility of a huge SCH and twin pregnancy with CHMCF should be considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Cunningham ME, Walls WJ, Burke MF. Grey-scale ultrasonography in the diagnosis of hydatidiform mole with a coexistent fetus. Br J Obstet Gynaecol. 1977;84(1):73–5.

    Article  CAS  PubMed  Google Scholar 

  2. Sebire NJ, Foskett M, Paradinas FJ, et al. Outcome of twin pregnancies with complete hydatidiform mole and healthy co-twin. Lancet. 2002;359(9324):2165–6.

    Article  PubMed  Google Scholar 

  3. Fowler DJ, Lindsay I, Seckl MJ, et al. Routine pre-evacuation ultrasound diagnosis of hydatidiform mole: experience of more than 1000 cases from a regional referral center. Ultrasound Obstet Gynecol. 2006;27(1):56–60.

    Article  CAS  PubMed  Google Scholar 

  4. Pollio F, Daniele F, Micalef R, et al. Hydatidiform mole with coexistent fetus. Cytogenetic features, diagnosis, and management. Minerva Ginecol. 2000;52(6):253–7.

    CAS  PubMed  Google Scholar 

  5. Piura B, Rabinovich A, Hershkovitz R, et al. Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus. Arch Gynecol Obstet. 2008;278(4):377–82.

    Article  PubMed  Google Scholar 

  6. Wang PS, Horrow MM. Twin pregnancy with complete hydatidiform mole and normal coexisting fetus. Ultrasound Q. 2013;29(3):219–20.

    Article  CAS  PubMed  Google Scholar 

  7. Himoto Y, Kido A, Minamiguchi S, et al. Prenatal differential diagnosis of complete hydatidiform mole with a twin live fetus and placental mesenchymal dysplasia by magnetic resonance imaging. J Obstet Gynaecol Res. 2014;40(7):1894–900.

    Article  PubMed  Google Scholar 

  8. Sanchez-Ferrer ML, Hernandez-Martinez F, Machado-Linde F, et al. Uterine rupture in twin pregnancy with normal fetus and complete hydatidiform mole. Gynecol Obstet Invest. 2014;77(2):127–33.

    Article  PubMed  Google Scholar 

  9. Niemann I, Sunde L, Petersen LK. Evaluation of the risk of persistent trophoblastic disease after twin pregnancy with diploid hydatidiform mole and coexisting normal fetus. Am J Obstet Gynecol. 2007;197(1):45e1-5.

    Article  Google Scholar 

  10. Bruchim I, Kidron D, Amiel A, et al. Complete hydatidiform mole and a coexistent viable fetus: report of two cases and review of the literature. Gynecol Oncol. 2000;77(1):197–202.

    Article  CAS  PubMed  Google Scholar 

  11. Chen FP. Molar pregnancy and living normal fetus coexisting until term: prenatal biochemical and sonographic diagnosis. Hum Reprod. 1997;12(4):853–6.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hyun Jin Cho.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Seo, S.Y., Cho, H.J. Twin Pregnancy with Complete Hydatidiform Mole and Co-existent Live Fetus. J. Fetal Med. 3, 41–44 (2016). https://doi.org/10.1007/s40556-015-0070-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40556-015-0070-y

Keywords

Navigation