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Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report

A twin pregnancy with a complete hydatidiform mole and a coexisting normal fetus (CHMF) is a rare clinical scenario, and it carries many associated pregnancy and postnatal risks. Limited numbers of case studies exist reporting an outcome of live birth, and only three prior cases report the presentat...

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Autores principales: Aguilera, Marijo, Rauk, Philip, Ghebre, Rahel, Ramin, Kirk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424659/
https://www.ncbi.nlm.nih.gov/pubmed/22928132
http://dx.doi.org/10.1155/2012/405085
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author Aguilera, Marijo
Rauk, Philip
Ghebre, Rahel
Ramin, Kirk
author_facet Aguilera, Marijo
Rauk, Philip
Ghebre, Rahel
Ramin, Kirk
author_sort Aguilera, Marijo
collection PubMed
description A twin pregnancy with a complete hydatidiform mole and a coexisting normal fetus (CHMF) is a rare clinical scenario, and it carries many associated pregnancy and postnatal risks. Limited numbers of case studies exist reporting an outcome of live birth, and only three prior cases report the presentation of a hydatidiform mole as a placenta previa. We report a case of CHMF with the molar component presenting antenatally as a placenta previa, which ultimately resulted in placenta accreta at the time of delivery. A live male infant was delivered at 34 weeks' gestation via planned cesarean section, and a hysterectomy was performed following unsuccessful removal of the molar component. We additionally utilized previously described methods of placing internal iliac balloons and ureteral stents prior to delivery. In such a high-risk pregnancy with a known molar previa component, these surgical preparation measures may be of benefit.
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spelling pubmed-34246592012-08-27 Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report Aguilera, Marijo Rauk, Philip Ghebre, Rahel Ramin, Kirk Case Rep Obstet Gynecol Case Report A twin pregnancy with a complete hydatidiform mole and a coexisting normal fetus (CHMF) is a rare clinical scenario, and it carries many associated pregnancy and postnatal risks. Limited numbers of case studies exist reporting an outcome of live birth, and only three prior cases report the presentation of a hydatidiform mole as a placenta previa. We report a case of CHMF with the molar component presenting antenatally as a placenta previa, which ultimately resulted in placenta accreta at the time of delivery. A live male infant was delivered at 34 weeks' gestation via planned cesarean section, and a hysterectomy was performed following unsuccessful removal of the molar component. We additionally utilized previously described methods of placing internal iliac balloons and ureteral stents prior to delivery. In such a high-risk pregnancy with a known molar previa component, these surgical preparation measures may be of benefit. Hindawi Publishing Corporation 2012 2012-08-13 /pmc/articles/PMC3424659/ /pubmed/22928132 http://dx.doi.org/10.1155/2012/405085 Text en Copyright © 2012 Marijo Aguilera et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aguilera, Marijo
Rauk, Philip
Ghebre, Rahel
Ramin, Kirk
Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title_full Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title_fullStr Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title_full_unstemmed Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title_short Complete Hydatidiform Mole Presenting as a Placenta Accreta in a Twin Pregnancy with a Coexisting Normal Fetus: Case Report
title_sort complete hydatidiform mole presenting as a placenta accreta in a twin pregnancy with a coexisting normal fetus: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424659/
https://www.ncbi.nlm.nih.gov/pubmed/22928132
http://dx.doi.org/10.1155/2012/405085
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