Gupta Kanika, Venkatesan Bhuvaneswari, Kumaresan Meenakshisundaram, Chandra Tushar
WMJ. 2015 Oct;114(5):208-11; quiz 212.
Twin pregnancy with hydatidiform mole and coexistent live fetus is a rare condition with severe maternal and fetal complications such as preeclampsia, vaginal bleeding, persistent gestational trophoblastic tumor, and fetal death.
We report a case of a twin pregnancy with histopathologically proven hydatidiform mole and a coexistent live fetus in a 30-year-old Indian woman diagnosed by first trimester ultrasound.
Our case emphasizes the role of ultrasound in diagnosing this condition in early pregnancy. A succinct overview of etiological mechanisms, possible complications, and clinical management is provided.
Ultrasound is an effective diagnostic tool to diagnose hydatidiform mole with coexistent live fetus. Early diagnosis of this condition is important for risk stratification and facilitates an informed decision by the patient whether to terminate the pregnancy or to continue until full term with close monitoring after delivery.
葡萄胎妊娠合并存活胎儿是一种罕见的情况，会引发严重的母婴并发症，如子痫前期、阴道出血、持续性妊娠滋养细胞肿瘤和胎儿死亡。
我们报告一例30岁印度女性双胎妊娠病例，经组织病理学证实为葡萄胎且合并存活胎儿，该病例通过孕早期超声诊断。
我们的病例强调了超声在孕早期诊断这种情况中的作用。本文提供了病因机制、可能的并发症及临床管理的简要概述。
超声是诊断葡萄胎合并存活胎儿的有效诊断工具。早期诊断这种情况对于风险分层很重要，有助于患者就是否终止妊娠或足月分娩并在产后密切监测后做出明智的决定。
