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A Rare Presentation of Viable Intrauterine Pregnancy with Coexisting Complete Molar Pregnancy in a Uterus Didelphys


Affiliations
1 Dept. of Obstetrics and Gynaecology, K.J. Somaiya Medical College and Research Centre, Mumbai, India
     

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Complete hydatidiform mole with co-existing live intrauterine fetus is an extremely rare event. Mullerian anomalies such as uterus didelphys are uncommon variants of normal anatomy. Uterus didelphys is one of the congenital uterine anomalies due to defective medial fusion of mullerian ducts. This anomaly is known to have poor reproductive outcome. It poses a great challenge for the obstetrician to decide for or against the continuation of such a pregnancy. Although successful outcomes in the form of live births have been reported, continuation of pregnancy till term is usually uncommon. We report a case of 23 year old female with USG report revealing a uterus didelphys with live intrauterine pregnancy in the right horn of 7.6 weeks with complete molar pregnancy in the left horn.

Keywords

H. Mole-Hydatidiform Mole, Uterus Didelphys, USG – Ultrasonography, HPE – Histopathological Examination, GTD - Gestational Trophoblastic Disease.
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  • Sheik S, Al-Riyami N, Mathew NR, Al-Sukaiti R, Qureshi A, Mathew M. Twin Pregnancy with a Complete Hydatidiform Mole and a Coexisting Live Fetus: Rare entity. Sultan Qaboos University Medical Journal. 2015;15(4):e550-e553. doi:10.18295/ squmj.2015.15.04.019.

  • Krishnamoorthy K, Gerkowicz S, Verma U. Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation. Journal of Clinical Imaging Science. 2016;6:26. doi:10.4103/2156-7514.184541

  • Sebire NJ. Prenatal diagnosis and management of twin pregnancies complicated by a co-existing molar pregnancy. Prenat Diagn. 2006;26(4):373

  • Rai L, Shripad H, Guruvare S, Prashanth A, Mundkur A. Twin pregnancy with Hydatidiform Mole and Co-existent Live Fetus: Lessons Learnt. The Malaysian Journal of Medical Sciences : MJMS. 2014;21(6):61-64.

  • Vimercati A, de Gennaro AC, Cobuzzi I, et al. Two cases of complete hydatidiform mole and coexistent live fetus. Journal of Prenatal Medicine. 2013;7(1):14.

  • Piura B, Rabinovich A, Hershkovitz R, Maor E, Mazor M: Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus. Arch Gynecol Obstet. 2008, 278: 377-382. 10.1007/s00404008-0591-x.

  • Tyagi A, Minocha B, Prateek S. Delayed delivery of second twin in uterus didelphys. Int J Gynecol Obstet 2001;73:259– 260.

  • Dolapcioglu K, Gungoren A, Hakverdi S, Hakverdi AU, Egilmez E. Twin pregnancy with a complete hydatidiform mole and co-existent live fetus: two case reports and review of the literature. Arch Gynecol Obstet. 2009;279:431–436

  • Vaisbuch E, Ben-Arie A, Dgani R, Perlman S, Sokolovsky N, Hagay Z. Twin pregnancy consisting of a complete hydatidiform mole and co-existent fetus: report of two cases and review of literature. Gynecol Oncol. 2005;98:19–23

  • Niemann I, Sunde L, Peterson LK. Evaluation of the risk of persistent trophoblastic disease after twin pregnancy with diploid hydatidiform mole and coexisting normal fetus. Am J Obstet Gynecol. 2007;197:451–455

  • Piura B, Rabinovich A, Hershkovitz R, Maor E, Mazor M. Twin pregnancy with a complete hydatidiform mole and surviving co-existent fetus. Arch Gynecol Obstet. 2008;278:377–382


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  • A Rare Presentation of Viable Intrauterine Pregnancy with Coexisting Complete Molar Pregnancy in a Uterus Didelphys

Abstract Views: 290  |  PDF Views: 0

Authors

Kamlesh Rajeev Chaudhari
Dept. of Obstetrics and Gynaecology, K.J. Somaiya Medical College and Research Centre, Mumbai, India
Ashwin Satish Sakhalkar
Dept. of Obstetrics and Gynaecology, K.J. Somaiya Medical College and Research Centre, Mumbai, India

Abstract


Complete hydatidiform mole with co-existing live intrauterine fetus is an extremely rare event. Mullerian anomalies such as uterus didelphys are uncommon variants of normal anatomy. Uterus didelphys is one of the congenital uterine anomalies due to defective medial fusion of mullerian ducts. This anomaly is known to have poor reproductive outcome. It poses a great challenge for the obstetrician to decide for or against the continuation of such a pregnancy. Although successful outcomes in the form of live births have been reported, continuation of pregnancy till term is usually uncommon. We report a case of 23 year old female with USG report revealing a uterus didelphys with live intrauterine pregnancy in the right horn of 7.6 weeks with complete molar pregnancy in the left horn.

Keywords


H. Mole-Hydatidiform Mole, Uterus Didelphys, USG – Ultrasonography, HPE – Histopathological Examination, GTD - Gestational Trophoblastic Disease.

References