Complete hydatidiform mole coexisting with a viable pregnancy as twins after intracytoplasmic sperm injection: a case report
Dedes, I.; Christodoulou, E.; Ziogas, V.
Journal of Reproductive Medicine 53(3): 227-230
2008
ISSN/ISBN: 0024-7758 PMID: 18441732 Document Number: 619349
BACKGROUND: Twin pregnancies with 1 healthy fetus and 1 hydatidiform mole are extremely rare events, occurring in 1:20,000-100,000 twin pregnancies.CASE: A 32-year-old, nulliparous woman underwent assisted reproduction due to malefactor infertility. At 15 weeks' gestation a complete hydatidiform mole coexisting with a viable pregnancy was diagnosed. The couple decided to maintain the pregnancy following detailed counseling regarding the risks and benefits. At 26 weeks' gestation the patient prematurely delivered a 720-g fetus who did not survive due to extreme prematurity. The patient also delivered the products of the molar pregnancy.CONCLUSION: In the event of a twin pregnancy with 1 viable fetus and 1 molar, continuing the pregnancy may be considered as far as the mother is fully informed, not only regarding the complications that may arise but also regarding the chances of delivering a healthy infant.