Two cases of complete hydatidiform mole and coexistent live fetus

Vimercati, Antonella and de Gennaro, Alessandra Caterina and Cobuzzi, Isabella and Grasso, Silavana and Abruzzese, Marinella and Fascilla, Fabiana Divina and Cormio, Gennaro and Selvaggi, Luigi (2013) Two cases of complete hydatidiform mole and coexistent live fetus. Journal of prenatal medicine, 7 (1). pp. 1-4. ISSN 1971-3290

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Abstract

The aim of this study was to report the clinical features, management, and outcome of complete hydatidiform mole with a coexisting viable fetus. Two cases are reported. In both cases ultrasound examination demonstrated a normally growing live fetus alongside a normal placenta and an additional intrauterine echogenic mass with features of hydatidiform mole. The hCG levels were significantly increased and fetal karyotypes were normal. A cesarean section performed at 28 weeks' gestation in the first case and at 26 weeks' gestation in the second one resulted in the delivery of live normal infant and two ad-joining placentas in both cases. Microscopic examination of theabnormal placentas confirmed complete hydatidiform mole. Thebabies did well and serial maternal serum hCG levels showed a declining trend and were undetectable by a few months after delivery. Continuation of a twin pregnancy with complete hydatidiform mole (CHMF) is an acceptable option. There is, although, an increased risk of developing maternal and fetal complications. Close surveillance of an ongoing pregnancy is compulsory to detect potential early signs of complications.

Item Type:	Article
Uncontrolled Keywords:	Win pregnancy, complete hydatidiform mole, gestational trophoblastic disease
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 618 Altri rami della medicina; Ginecologia e ostetricia, Pediatria, Geriatria > 618.3 Malattie e complicazioni della gravidanza
Depositing User:	Gianni Aiello
Date Deposited:	29 May 2013 12:52
Last Modified:	10 Apr 2014 08:37
URI:	http://eprints.bice.rm.cnr.it/id/eprint/5454

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