Hydatidiform Mole with Coexistant Viable Fetus

Abstract

Background: A hydatidiform mole with a coexistent viable fetus is a rare entity. Case: This article reports a case of a 30-year-old, gravida 4, para 2, who presented at 14 weeks' period of gestation with bleeding per vaginum. Ultrasonography revealed a twin pregnancy consisting of a hydatidiform mole and a coexistent fetus. After a detailed discussion with the patient and her mate, the pregnancy was terminated. Results: A pathologic examination was consistent with a complete mole coexistent with a normal fetus and placenta. Serial monitoring of the patient's serum b-human chorionic gonadotropin was performed until this parameter was negative. Results: On follow-up, the patient has been free of persistent gestational trophoblastic disease (GTD). Conclusions: A hydatidiform mole coexistent with a viable fetus is rare and has poor prognosis. Continuation of pregnancy in CMCF is controversial because of the risk of maternal complications and risk of persistent GTD. ( J GYNECOL SURG 28:150)