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CC BY-NC-ND 4.0 · Journal of Fetal Medicine 2018; 05(04): 205-207
DOI: 10.1007/s40556-018-0179-x
Original Article

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

Aradhana Aggarwal 
1   Apollo Cradle Hospital, Amritsar, Punjab, India
,
Chanchal Singh
2   Madhukar Rainbow Children’s Hospital, New Delhi, India
,
Shreyasi Sharma
3   CK Birla Hospital for Women, Gurugram, India
,
Apoorva Reddy
4   Maharaja Agrasen Hospital, New Delhi, India
,
Anita Kaul
5   Apollo Hospital for Fetal Medicine, Indraprastha Apollo Hospital, New Delhi, India
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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


Publication History

Received: 14 March 2018

Accepted: 12 June 2018

Article published online:
08 May 2023

© 2018. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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