Open AccessTriplet Pregnancy with a Complete Hydatidiform Mole and Two Live Fetuses: A Case Report
Author(s) -
Pancieri Bárbara Gobetti,
Ozório Carla Nassur,
Gomes Carolina Viana Bueno,
Ribeiro Ana Paula Alves,
Vasconcellos Vitor Fiorin,
Musiello Rubens Bermudes,
Chambô Filho Antönio
Publication year - 2021
Publication title -
gynecology and reproductive health
Language(s) - English
Resource type - Journals
ISSN - 2639-9342
DOI - 10.33425/2639-9342.1166
Subject(s) - mole , fetus , pregnancy , obstetrics , partial hydatidiform mole , medicine , gestational age , gestational trophoblastic disease , gestation , gynecology , biology , placenta , genetics
Background: A complete hydatidiform mole (CHM) coexistent with a live fetus is rare; however, in a triplet pregnancy it is even rarer. In such cases, diagnosis is complex and often delayed, since unlike cases of a hydatidiform mole alone, the coexisting CHM often fails to be detected at ultrasound, while Β-hCG, a marker of the disease, is already elevated because of the multiple pregnancy. The risk of maternal complications and of progression to malignant gestational trophoblastic disease is significantly greater in cases of a complete mole. Case: The case reported here refers to a triplet pregnancy consisting of two viable fetuses and a CHM. Conclusion: Outcome was favorable for the two live fetuses; however, the hydatidiform mole progressed to an invasive mole, requiring chemotherapy. Remission was achieved successfully.