Twin conception of a hydatidiform mole and a co-existing viable fetus

Joint Authors

Duyub, Nawal
Sunder, Amala
Bushaqer, Nayilah
Sulaibeekh, Nura
Verghese, Bessy

Source

Bahrain Medical Bulletin

Issue

Vol. 43, Issue 3 (30 Sep. 2021), pp.640-643, 4 p.

Publisher

King Hamad University Hospital

Publication Date

2021-09-30

Country of Publication

Bahrain

No. of Pages

4

Main Subjects

Pharmacy, Health & Medical Sciences

Abstract EN

Multiple pregnancy with a normal live fetus and concurrent gestational trophoblastic disease is associated with obstetric complications and potential adverse outcomes.

Diagnosis with appropriate imaging, counselling and a systematic approach are the mainstay of the management of these exceptional cases.

24 years old in her second pregnancy was diagnosed as twin gestation.

Early gestational imaging showed twin gestation with one live fetus and the other sac with possible missed miscarriage.

Subsequent imaging at 10 weeks showed one live fetus and the other sac with molar changes.

Pregnancy was monitored up to 14 weeks but had to be terminated due to thyrotoxicosis, hypertension and vaginal bleeding.

At 14 weeks abdominal assessment revealed a uterus of more than 25 gestational weeks.

Ultrasound assessment showed the placenta to be covering the cervix with increased vascularity.

A multidisciplinary approach was undertaken and in view of thyrotoxicosis associated with molar changes and vaginal bleeding, the pregnancy was terminated by hysterotomy.

The postpartum period was complicated with preeclampsia which necessitated admission to the intensive care unit.

Post-delivery the client received six cycles of methotrex ate as chemotherapy.

After 8 months from initiation of chemotherapy, the client attained complete recovery.

American Psychological Association (APA)

Sulaibeekh, Nura& Verghese, Bessy& Sunder, Amala& Bushaqer, Nayilah& Duyub, Nawal. 2021. Twin conception of a hydatidiform mole and a co-existing viable fetus. Bahrain Medical Bulletin،Vol. 43, no. 3, pp.640-643.
https://search.emarefa.net/detail/BIM-1447343

Modern Language Association (MLA)

Sulaibeekh, Nura…[et al.]. Twin conception of a hydatidiform mole and a co-existing viable fetus. Bahrain Medical Bulletin Vol. 43, no. 3 (Sep. 2021), pp.640-643.
https://search.emarefa.net/detail/BIM-1447343

American Medical Association (AMA)

Sulaibeekh, Nura& Verghese, Bessy& Sunder, Amala& Bushaqer, Nayilah& Duyub, Nawal. Twin conception of a hydatidiform mole and a co-existing viable fetus. Bahrain Medical Bulletin. 2021. Vol. 43, no. 3, pp.640-643.
https://search.emarefa.net/detail/BIM-1447343

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 642-643

Record ID

BIM-1447343