Twin Pregnancy Comprising Of Hydatidiform Mole And A Foetus: Diagnosis And Treatment
Main Article Content
Abstract
The occurrence of twin pregnancy in which a fetus coexists with hydatidi from mole is very rare with an estimated incidence of 1in 10,000 to 1 in 100,000 1pregnancies . Important diagnostic tools include ultrasound, B hCG estimation, 2DNA typing and histopathology . Attempts to prolong pregnancy with a 3 view of obtaining a live birth usually fail and by allowing the development of a
larger mass of molar tissue, puts the woman at a higher risk of persistent 4trophoblastic disease . The present case was diagnosed sonographically at 11 weeks of gestation, followed by suction evacuation of the uterus. A very interesting feature is that the fetus and hydatidiform mole had different amniotic sacs with clearly demonstrable intervening amniotic membranes.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
How to Cite
References
1. Jones WB, Lauersen NH. Hydatidiform mole with coexistent fetus. Am J Obstet Gynecol. 1975;
122:267-273
2. Hsu CC, McConnell J, Ko TM and Braude PR. Twin pregnancy consisting of a complete hydatidiform mole and fetus: genetic origin determined by DNA typing. Br J Obstet Gynaecol 1993; 100:867-868.
3. Ozumba BC, Ofodile A. Twin pregnancy involving complete hydatidiform mole and partial mole after five years of amenorrhoea. Eur J Obstet Gynaecol Reprod Biol 1994; 53:217-218.
4. Flam F, Lundstrom V, Pettersson F. Medical induction prior to surgical evacuation of hydatidiform mole: is there a greater risk of persistent trophoblastic disease? Eur J Obstet Gynaecol Reprod Biol 1991; 42:57-60.
5. Ikpeze OC. Current obstetric perinatal indices of the Nigerian Igbo population. Orient J of Med 1992; 4:1-3.
6. Egwuatu VE, Ozumba B.C. Observation on molar pregnancy in Enugu, Nigeria. Int J Gynaecol Obstet 1989; 29:219-228.
7. Lawler SD. Genetic studies on hydatidiform moles 11. The origin of complete moles. Ann Human Gent. 1982; 46:209-222.
8. Lawler SD. Genetic studies on hydatidiform moles 1. The origin of partial moles. Cancer Genet Cytogenet 1982; 5:309-320.
9. Kaufman MH. Hydatidiform mole: genetics and practical implications. Hosp Update 1988; 14:1415-1420.
10. Ma HK, Wong IC, Ngan HYS. The modern management of trophoblastic disease. In: Recent Advances in Obstetrics and Gynaecology Ed. J. Bonnar 1990; 16:3-23. Churchill Livingstone, Edinburgh.