Department of Radiology, Sidhababa Hospital and Research Centre Pvt. Ltd, Butwal, Nepal.
Department of Internal Medicine, Gautam Buddha Community Heart hospital, Butwal, Nepal.
JNMA J Nepal Med Assoc. 2020 Feb;58(222):112-114. doi: 10.31729/jnma.4575.
Hydatidiform mole is an abnormal pregnancy common in Asian populations compared to western countries; however, a partial hydatidiform mole is relatively uncommon and very challenging to diagnose on ultrasound. We reported a 24 years old female visited our clinic whose first antenatal visit was regular with normal viable fetus on ultrasonographic scan. However, an uneventful scan at 12 weeks period of gestation revealed a large irregular gestational sac with the disproportionately small embryo corresponding to 6+6 weeks with no cardiac activity. Additionally, there was markedly thickened placenta measuring 30mm in thickness without cystic spaces within the placenta. Further, her beta-human chorionic gonadotrophin level was very high and suction evacuation sample showed hydropic chorionic villi lined by trophoblastic cells with cistern formation and scalloped border. In conclusion, partial hydatidiform mole is an uncommon molar pregnancy rarely diagnose on ultrasonography. Late first-trimester scan and excessively high beta-human chorionic gonadotrophin levels confirm the diagnosis. Keywords: Hydatidiform mole; molar pregnancy; partial hydatidiform mole.
葡萄胎是一种异常妊娠，在亚洲人群中比西方国家更为常见；然而，部分性葡萄胎相对少见，在超声检查中很难诊断。我们报告了一位 24 岁的女性患者，她首次产前检查正常，超声扫描显示有正常的存活胎儿。然而，在 12 周的妊娠期间，一次无并发症的超声检查显示出一个大的不规则孕囊，胚胎不成比例地小，对应 6+6 周，没有胎心活动。此外，胎盘明显增厚，厚度为 30mm，胎盘内没有囊腔。此外，她的β-人绒毛膜促性腺激素水平非常高，抽吸刮宫样本显示绒毛水肿，滋养细胞排列，有腔隙形成和锯齿状边界。总之，部分性葡萄胎是一种罕见的葡萄胎，很少在超声检查中诊断。早期妊娠晚期扫描和β-人绒毛膜促性腺激素水平过高可确诊。关键词：葡萄胎；葡萄胎妊娠；部分性葡萄胎。
