Twin Pregnancy with Complete Hydatidiform Mole and Coexistent Fetus
DOI:
https://doi.org/10.53903/01212095.48Keywords:
Aneurysm, Gestational trophoblastic disease, Twin pregnancy, UltrasonicsAbstract
Included in the spectrum of gestational trophoblastic disease, as one of the least frequent entities, is the coexistence, in a biamniotic twin pregnancy, of a complete hydatidiform mole and a normal viable fetus. The diagnosis of this condition requires a careful and thorough ultrasonographic examination, which will help in excluding the two main differential diagnosis in this scenario: partial hydatidiform mole and mesenchymal placental dysplasia. By following the obstetric examination protocol, and using academic radiologic knowledge, the examiner might reach a precise diagnosis. Here we present a case of a twin pregnancy with complete hydatidiform mole and coexistent fetus, a rare finding. We also present a short literature review on the topic of clinical management, given the fact that this disease might be associated with pregnancy complications and high risk of malignant behavior
Downloads
References
Steller M, Genest DR, Bernstein MR, et al. Natural history of twin pregnancy with complete hydatidiform mole and coexisting fetus. Obstet Gynecol. 1994;83:35-42.
Lazarus E, Levine D. The first trimester, diagnostic ultrasound, quinta edición. Capítulo 30. 2018. pp. 1048-1087.
Shaaban A, Rezvani M, Haroune M, et al. Gestational trophoblastic disease: Clinical and imaging features. RadioGraphics. 2017;37:681-700.
Lipi LB, Philp L, Goodman AK. A challenging case of twin pregnancy with complete hydatidiform mole and co-existing normal live fetus – A case report and review of the literature. Gynecologic Oncology Reports. 2020;31:100519.
Peng HH, Huang KG, Chue HY, et al. Term delivery of a complete hydatidiform mole with a coexisting living fetus followed by successful treatment of maternal metastatic gestational trophoblastic disease. Taiwanese J Obstet Gynecol. 2014;53:397-400.
Nobuhara I, Harada N, Haruta N, et al. Multiple metastatic gestational trophoblastic disease after a twin pregnancy with complete hydatidiform mole and coexisting fetus, following assisted reproductive technology: Case report and literature review. Taiwanese J Obstet Gynecol. 2018;57:588-93.
Matsui H, Sekiya S, Hando T, Wake N, Tomoda Y. Hydatidiform mole coexis- tent with a twin live fetus: a national collaborative study in Japan. Humanit Rep. 2000;15:608-11.
Deng L, Yan X, Zhang J, Wu T. Combination chemotherapy for high-risk gestational trophoblastic tumour. Cochrane Database Syst Rev. 2009;15:CD005196.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
La Revista Colombiana de Radiología es de acceso abierto y todos sus artículos se encuentran libre y completamente disponibles en línea para todo público sin costo alguno.
Los derechos patrimoniales de autor de los textos y de las imágenes del artículo como han sido transferidos pertenecen a la Asociación Colombiana de Radiología (ACR). Por tanto para su reproducción es necesario solicitar permisos y se debe hacer referencia al artículo de la Revista Colombiana de Radiología en las presentaciones o artículos nuevos donde se incluyan.
