Twin Pregnancy with a Complete Hydatidiform Mole and a Coexisting Live Fetus; Rare entity
Autor: | Mariam Mathew, Nihal Al-Riyami, Asim Qureshi, Rashid Al-Sukaiti, Shahila Sheik, Namitha R. Mathew |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Abdominal pain Oman medicine.medical_treatment Placenta lcsh:Medicine Case Report Human chorionic gonadotropin Fetus medicine Vaginal bleeding Hysterotomy Twin Pregnancy reproductive and urinary physiology Gynecology Pregnancy business.industry Obstetrics lcsh:R oman General Medicine Hydatidiform Mole medicine.disease medicine.anatomical_structure Online Case Report Human Chorionic Gonadotropin embryonic structures medicine.symptom business |
Zdroj: | Sultan Qaboos University Medical Journal, Vol 15, Iss 4, Pp e550-553 (2015) Sultan Qaboos University Medical Journal, Vol 15, Iss 4, Pp 550-553 (2015) |
ISSN: | 2075-0528 |
Popis: | A hydatidiform mole with a coexisting live fetus is a rare occurrence and the optimal management for this condition is not yet known. We report the case of a 32-year-old woman (gravida 3, para 2) who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in March 2012 at 13 gestational weeks with abdominal pain and vaginal bleeding. An ultrasound examination revealed a hydatidiform mole pregnancy coexisting with a live fetus. After extensive counselling, the patient and her husband opted for a conservative management approach. Unfortunately, a hysterotomy had to be performed at 17 gestational weeks due to severe haemorrhage. The postoperative period was uneventful and histopathology results confirmed one complete mole with a coexisting fetus and normal placenta. The patient’s serum β-human chorionic gonadotropin level remained normal for 18 months following her surgery. |
Databáze: | OpenAIRE |
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