2009, Number 03
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Ginecol Obstet Mex 2009; 77 (03)
Twin pregnancy with complete mole and coexisting fetus after in vitro fertilization and embryo transfer complicated with placenta previa accreta. A case report
Guzmán GE, Gaviño GF, Valero OA, Deschamps DH, Ramírez FMA, Miranda LM
Language: Spanish
References: 9
Page: 151-155
PDF size: 189.57 Kb.
ABSTRACT
The double twin pregnancy with complete hydatidiform mole and coexistent fetus is a rare event and perinatal treatment complex. Presents a significant case of this unusual partnership and describes their evolution. Patient of 33 years, secondary infertility factor-peritoneal tube and pregnancy achieved by in vitro fertilization and embryo transfer. An ultrasound early pregnancy reported twice, a sack was a complete mole, another bag was a fetus and placenta previa unchanged total. The case is carefully monitored and uterine inhibitors were administered at different stages of gestation. It settled the case by caesarean section at 37 weeks and obstetric hysterectomy for placenta previa percreta molar involution of the placenta and newborn health. The evolution of the mother and the child was appropriate.
REFERENCES
Steller MA, Genest DR, Bernstein MR, Lage JM, et al. Natural history of twin pregnancy with complete hydatidiform mole and coexisting fetus. Obstet Gynecol 1994;83:35-42.
Kwon HE, Park EJ, Kim SH, Chae HD, et al. A case of twin pregnancy with complete hydatidiform mole and coexisting fetus following IVF-ET. J Assit Reprod & Gen 2002;19:144-8.
Azuma C, Fumitaka S, Massahiko T. Triplet pregnancy involving complete hydatidiform mole and two fetuses: Genetic analysis by deoxyribonucleic acid fingerprint. Am J Obstet Gynecol 1992;166:664-7.
Fishman DA, Padilla LA, Keh P, Cohen L, et al. Management of twin pregnancy consisting of a complete hydatidiform mole and normal fetus. Obstet Gynecol 1998;91:546-50.
Klatt TE, Franciosi RA, Cruikshank DP. Normal fetus with a twin presenting as both a complete hydatidiform mole andplacenta previa. Obstet Gynecol 2006;107:527-30.
Kajii T, Ohama K. Androgenic origin of hydatidiform mole. Nature 1977;268:633-4.
Niemann I, Sunde L, Petersen LK. Evaluation of the risk of persistent trophoblastic disease after twin diploid hydatidiform mole and coexisting normal fetus. Am J Obstet Gynecol 2007;197:45.e1-5.
Bristow RE, Shumway JB, Khouzami AN, Witter FR. Complete hydatidiform mole and surviving coexistent twin. Obstet Gynecol Surv 1996;51:705-9.
Feinberg RF, Lockwood CJ, Salafia C, Hobbins JC. Sonographic diagnosis of a pregnancy with a difuse hydatidiform mole and coexistent 46XX fetus: A case report. Obstet Gynecol 1988;72:485-7.