A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up | Zendy

Antônio Braga | Zendy; Bruna Obeica | Zendy; Heron Werner | Zendy; Sue Yazaki Sun | Zendy; Joffre Amim Júnior | Zendy; Jorge Rezende Filho | Zendy; Edward Araujo Júnior | Zendy

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A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up

Author(s) -

Antônio Braga,

Bruna Obeica,

Heron Werner,

Sue Yazaki Sun,

Joffre Amim Júnior,

Jorge Rezende Filho,

Edward Araujo Júnior

Publication year - 2017

Publication title -

journal of ultrasonography

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.146

H-Index - 3

eISSN - 2451-070X

pISSN - 2084-8404

DOI - 10.15557/jou.2017.0044

Subject(s) - medicine , molar pregnancy , obstetrics , fetus , prenatal diagnosis , twin pregnancy , pregnancy , gestational trophoblastic disease , dysplasia , magnetic resonance imaging , gestational age , gynecology , gestation , radiology , pathology , genetics , biology

Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar pregnancy with a hydatidiform mole and a coexisting live fetus diagnosed at gestational week 14 using two-dimensional (2D) and three-dimensional (3D) ultrasound and magnetic resonance imaging. We also describe the obstetric management and postmolar follow-up.

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