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EP16.07: Two cases of twin pregnancy with a hydatidiform mole and a coexisting live fetus, especially with high levels of βhCG
Author(s) -
Jung Y.,
Kang B.,
Lee M.,
Ko Y.
Publication year - 2018
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.20030
Subject(s) - medicine , gestation , pregnancy , vaginal bleeding , obstetrics , twin pregnancy , fetus , molar pregnancy , gynecology , abdominal pain , surgery , genetics , biology
Introduction Twin pregnancy with a hydatidiform mole and a coexisting live fetus is rare occurrence associated with the increased risk of obstetric complications and poor perinatal outcome. Here we reported two cases of twin molar pregnancy opted for conservative management resulted with unfavorable consequences Second Case A 29-year-old primigravida woman in natural conception. At 11 weeks of gestation, she was diagnosed with molar pregnancy by abnormal ultrasound imaging (Figure2) and high levels of βhCG (above 200,000mIU/mL). At 22 weeks of gestation, she came to the hospital with massive vaginal bleeding and the elevated βhCG level upto 896,503mIU/mL. The pregnancy was to be terminated immediately. The βhCG level showed rapid regression and reached normal in 5 weeks without any treatment.