Chhetry Manisha, Pokharel Aruna, Chaudhary Amar Nath
Department of Obstetrics and Gynecology, BP Koirala Institute of Health Science, Nepal.
Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Nepal.
Case Rep Obstet Gynecol. 2019 Oct 7;2019:5090565. doi: 10.1155/2019/5090565. eCollection 2019.
Twin pregnancy with a complete mole and a coexistent normal fetus reaching term is a rare occurrence. We report a case of a 21-yrs G2P1L0 un-booked patient at 39 weeks who was referred for the same condition diagnosed incidentally on ultrasound scan which showed a singleton pregnancy in breech presentation with a normal placenta and a heterogeneous cystic lesion seen anteriorly, suggesting a coexistent molar pregnancy. Cesarean section was done, and a healthy male baby was delivered with a grossly normal placenta and a second placenta with grape like vesicles. Histopathology confirmed the diagnosis of complete mole and normal placenta. Postoperative period was uneventful, and the patient was kept on beta hcg follow-up to monitor progression to gestational trophoblastic neoplasia, but it normalized by 12 weeks.
双胎妊娠中一个为完全性葡萄胎且另一个为并存的足月正常胎儿的情况极为罕见。我们报告一例21岁、孕2产1、未登记建档的患者，孕39周，因超声检查偶然发现相同情况而转诊。超声显示单胎臀位妊娠，胎盘正常，前方可见一不均质囊性病变，提示并存葡萄胎妊娠。行剖宫产术，娩出一名健康男婴，胎盘大体正常，另有一个有葡萄样水泡的胎盘。组织病理学确诊为完全性葡萄胎和正常胎盘。术后恢复顺利，患者接受β-人绒毛膜促性腺激素随访以监测是否进展为妊娠滋养细胞肿瘤，但其在12周时恢复正常。
